Individual provider Active NPI

Kathryn Nicole Neisler, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Shelbyville, IN
National Provider Identifier
1508347154
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008363A Issued in IN
Practice address
2451 Intelliplex Dr Ste 210
Shelbyville, IN 46176-8581
Phone
(317) 421-1868
Fax
(317) 398-1853
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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 28199987A IN
Family Nurse Practitioner 363LF0000X 71008363A IN Primary

Addresses

Primary practice location

2451 Intelliplex Dr Ste 210
Shelbyville, IN 46176-8581

Mailing address

611 Shelby St
Shelbyville, IN 46176-1946
Phone (317) 468-8403

Other practice location 1

2451 Intelliplex Dr Ste 215
Shelbyville, IN 46176-8580
Phone (317) 421-1900

Other practice location 2

2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 392-3211

Other practice location 3

2451 Intelliplex Dr Ste 220
Shelbyville, IN 46176-8581
Phone (317) 893-1900

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
I20181005000186 IN Practitioner - Nurse Practitioner 7517219306 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Major Multispecialty AssociatesGroup PAC ID 6305997842, 39 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

2451 Intelliplex Dr
Suite 210
Shelbyville, IN 46176-8581
Phone (317) 421-1914

Hospital & facility affiliations

  • Major Hospital Hospital, Shelbyville, IN, CCN 150097
  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
  • Rush Memorial Hospital Hospital, Rushville, IN, CCN 151304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28199987AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC CurrentSince Jul 15, 2020 Accepting new patients
FC Indiana, LLC CurrentSince Jul 15, 2020 Accepting new patients
Major Multispecialty Associates CurrentSince Sep 25, 2018 Accepting new patients
Franciscan Physician Network CurrentSince Jan 1, 2024 Accepting new patients
Major Hospital CurrentSince Sep 25, 2018 Accepting new patients
Franciscan Physician Network CurrentSince Jan 1, 2024 Accepting new patients
Major Multispecialty Associates CurrentSince Sep 25, 2018 Accepting new patients
Major Hospital CurrentSince Sep 25, 2018 Accepting new patients
X-Ray Physicians of Shelbyville PC Current Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

5330 E Stop 11 Rd
Indianapolis, IN 46237
Phone (317) 893-1920

2451 Intelliplex Dr
Ste 215
Shelbyville, IN 46176
Phone (317) 421-1900

2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

2451 Intelliplex Dr
Ste 205
Shelbyville, IN 46176
Phone (317) 421-1914

2451 Intelliplex Dr
Ste 220
Shelbyville, IN 46176
Phone (317) 421-1900

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

2451 Intelliplex Dr
Ste 210
Shelbyville, IN 46176
Phone (317) 421-1868

Organizations & group practices 9

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 4

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1508347154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SHELBY ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761946",
            "telephone_number": "317-468-8403",
            "fax_number": "317-398-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 INTELLIPLEX DR STE 210",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768581",
            "telephone_number": "317-421-1868",
            "fax_number": "317-398-1853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 Intelliplex Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461768580",
            "country_code": "US",
            "telephone_number": "317-421-1900",
            "fax_number": "317-398-1853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 Intelliplex Dr",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461768580",
            "country_code": "US",
            "telephone_number": "317-392-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 Intelliplex Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461768581",
            "country_code": "US",
            "telephone_number": "317-893-1900",
            "fax_number": "317-893-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEISLER",
        "first_name": "KATHRYN",
        "middle_name": "NICOLE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28199987A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008363A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.