Kristin Jean Clyne, ANP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71003352A Issued in IN

Practice address

5162 E Stop 11 Rd Ste 1
Indianapolis, IN 46237-8618

Phone

(443) 452-3678

NPI assigned

Sep 3, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4
• Direct secure messaging: kristin.clyne.1@24167.direct.athenahealth.com
• Direct secure messaging: kristin.clyne.p1@direct.meridianhs.nextgenshare.com

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.

• Mending Minds, LLC

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1780258798

  IN

  Medicare reassignment NPD
• Meridian Health Services Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Muncie, IN
  • NPI 1992755490

  IN

  Medicare reassignment NPD
• Elevate Mental Health and Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
  • NPI 1578498705

  Psychiatric/Mental Health

  NPD Authorized official
• Family Psychiatric Center LLC

  • Psychiatry Physician
  • Kokomo, IN
  • NPI 1245302934

  Psychiatric/Mental Health

  NPD
• Meridian Health Services Corp.

  • Federally Qualified Health Center (FQHC)
  • Montpelier, IN
  • NPI 1417838574
  NPD
• Meridian Health Services Corp

  • Federally Qualified Health Center (FQHC)
  • Muncie, IN
  • NPI 1346785037
  NPD (past)

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1477860997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5162 E STOP 11 RD STE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378618",
            "telephone_number": "317-426-7368",
            "fax_number": "317-659-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5162 E STOP 11 RD STE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378618",
            "telephone_number": "443-452-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYNE",
        "first_name": "KRISTIN",
        "middle_name": "JEAN",
        "credential": "ANP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71003352A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71003352A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia E Clow
• Juanita Clowers, NP
• Ryan Adam Cloyd, MD/PHD
• Robert E Clutter, MD
• Linda Jane Clutz, LMHC
• CM Specialty Pharmacy LLC
• Anna Margaret Cmolik, MA
• CMT Heart Mobility & Transport LLC
• CMW Medical LLC
• Coach Dreammakers L.L.C.

• All providers in Indianapolis, IN
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.