Active NPI
Kathy Frances Tebo, APRN
- Family Nurse Practitioner
- Brook, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71011915A
- Practice address
- 420 E Main St
Brook, IN 47922-8715 - Phone
- (219) 275-2521
- Fax
- (219) 275-9342
- NPI assigned
- Nov 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28190154A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71011915A | IN | Primary |
Addresses
Primary practice location
420 E Main St
Brook, IN 47922-8715
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
118 W Drexel Pkwy
Rensselaer, IN 47978-7344
Phone (219) 866-4300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ktebo209450@Direct.FranciscanAlliance.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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220113001092 | IN | Practitioner - Nurse Practitioner | 2567854094 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Health Rensselaer Inc
Practice addresses (Care Compare)
420 E Main St
Brook, IN 47922-8715
Phone (219) 275-2521
Hospital & facility affiliations
- Elara Caring
- Franciscan Health Rensselaer, Inc
- Franciscan Health Lafayette
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Family Medicine | Current | Accepting new patients |
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Health Rensselaer, Inc. | Current | Accepting new patients | |
| Franciscan Health Rensselaer, Inc. | Family | Current | Accepting new patients |
| Franciscan Health Rensselaer, Inc. | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026
118 W Drexel Pkwy
Rensselaer, IN 47978
Phone (219) 866-4300
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- ktebo209450@direct.franciscanalliance.org
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
Family Medicine, IN
-
- Medicare Defined Swing Bed Hospital Unit
- Rensselaer, IN
- NPI 1508232075
-
- Family Nurse Practitioner
- Brook, IN
- NPI 1710367966
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Critical Access Hospital
- Rensselaer, IN
- NPI 1255711206
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Valparaiso, IN
- NPI 1013493493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1497411797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E MAIN ST",
"city": "BROOK",
"state": "IN",
"postal_code": "479228715",
"telephone_number": "219-275-2521",
"fax_number": "219-275-9342"
}
],
"practiceLocations": [
{
"address_1": "118 W Drexel Pkwy",
"address_purpose": "LOCATION",
"city": "Rensselaer",
"state": "IN",
"postal_code": "479787344",
"country_code": "US",
"telephone_number": "219-866-4300",
"fax_number": "219-866-7591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEBO",
"first_name": "KATHY",
"middle_name": "FRANCES",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-10",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "28190154A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011915A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ktebo209450@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "118 W Drexel Pkwy",
"city": "Rensselaer",
"state": "IN",
"country_code": "US",
"postal_code": "479787344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brook, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.