Individual provider Active NPI

Kathy Frances Tebo, APRN

  • Family Nurse Practitioner
  • Brook, IN
National Provider Identifier
1497411797
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011915A Issued in IN
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

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 2668781212, 3 clinicians

Practice addresses (Care Compare)

420 E Main St
Brook, IN 47922-8715
Phone (219) 275-2521

Hospital & facility affiliations

  • Elara Caring Home health agency, Valparaiso, IN, CCN 157095
  • Franciscan Health Rensselaer, Inc Hospital, Rensselaer, IN, CCN 151324
  • Franciscan Health Lafayette Hospital, Lafayette, IN, CCN 150109

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network Family Medicine CurrentSince Jan 2, 2022 Accepting new patients
Franciscan Physician Network CurrentSince Jan 2, 2022 Accepting new patients
Franciscan Health Rensselaer, Inc. Current Accepting new patients
Franciscan Health Rensselaer, Inc. Family CurrentSince Jan 2, 2022 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.