Individual provider Active NPI

Kaitlyn Anne Hollingsworth, FNP-BC

  • Family Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1417452947
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007968A Issued in IN
Practice address
11725 Illinois St
Carmel, IN 46032-3008
Phone
(317) 688-4864
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28181128A IN
Family Nurse Practitioner 363LF0000X 71007968A IN Primary

Addresses

Primary practice location

11725 Illinois St
Carmel, IN 46032-3008

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

555 E County Line Rd Ste 202
Greenwood, IN 46143-1063
Phone (317) 396-1300

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kaitlyn.hollingsworthfnpbc.p1@direct.goodmancampbell.nextgenshare.com Health Information Exchange (HIE)
Direct Messaging Address KHOLLINGSWORTH@DIRECT.IUHEALTH.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180531001105 IN Practitioner - Nurse Practitioner 1456616002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

11725 Illinois St
Carmel, IN 46032-3008
Phone (888) 484-3258

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28181128AINMDFamily Nurse Practitioner
71007968AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC Family CurrentSince Jan 1, 2026 Accepting new patients
Major Hospital Past Accepting new patients

Locations

11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808

555 E County Line Rd
Ste 202
Greenwood, IN 46143
Phone (317) 396-1406

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

355 W 16th St
Ste 5100
Indianapolis, IN 46202
Phone (317) 963-8145

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

Interoperability endpoints

  • Direct secure messaging: khollingsworth@direct.iuhealth.org
  • Direct secure messaging: kaitlyn.hollingsworthfnpbc.p1@direct.goodmancampbell.nextgenshare.com
  • Direct secure messaging: kaitlyn.hollingsworth.p1@direct.goodmancampbell.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1417452947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323008",
            "telephone_number": "317-688-4864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 E County Line Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461431063",
            "country_code": "US",
            "telephone_number": "317-396-1300",
            "fax_number": "317-396-1419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "KAITLYN",
        "middle_name": "ANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28181128A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007968A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaitlyn.hollingsworthfnpbc.p1@direct.goodmancampbell.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "555 E County Line Rd Ste 202",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461431063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KHOLLINGSWORTH@DIRECT.IUHEALTH.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11725 ILLINOIS ST",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460323008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.