Active NPI
Katherine Jean Wadsworth, FNP-BC
- Family Nurse Practitioner
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71013030A
- Practice address
- 1107 S Tillotson Ave
Muncie, IN 47304-4517 - Phone
- (765) 717-5399
- NPI assigned
- Sep 14, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71013030A | IN | Primary |
Addresses
Primary practice location
1107 S Tillotson Ave
Muncie, IN 47304-4517
Mailing address
1107 S Tillotson Ave
Muncie, IN 47304-4517
Phone (765) 717-5399
Other practice location 1
2100 N Main St Ste 304
Crown Point, IN 46307-1877
Phone (574) 546-1900
Other practice location 2
409 SE Greenville Ave
Winchester, IN 47394-9464
Phone (765) 584-0480
Other practice location 3
330 N Wabash Ave Ste 470
Marion, IN 46952-2685
Phone (765) 717-5399
Other practice location 4
2451 Intelliplex Dr Ste 250
Shelbyville, IN 46176-8581
Phone (765) 717-5399
Other practice location 5
1007 N 16th St
New Castle, IN 47362-4320
Phone (765) 717-5399
Other practice location 6
900 Sim Hodgin Pkwy
Richmond, IN 47374-1932
Phone (765) 717-5399
Other practice location 7
2705 S Berkley Rd Ste 4D
Kokomo, IN 46902-8007
Phone (765) 717-5399
Other practice location 8
813 N Lincoln St
Greensburg, IN 47240-1330
Phone (765) 717-5399
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
104 Spring Grove Ave
Salem, IN 47167-1450
12 Cadillac Dr
Suite 380
Brentwood, TN 37027-5272
250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317
6619 Brotherhood Way
Fort Wayne, IN 46825-4226
PO Box
Nashville, TN 37230
PO Box
Suite 306417
Nashville, TN 37230-6417
Hospital & facility affiliations
- Reid Health
- Northwestern Medicine Central Dupage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.3 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Cleanslate Medical Group of Indiana LLC | Current | Accepting new patients | |
| Medical Group of Indiana LLC D/B/a Rheumatology of Central Indiana | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Chestnut Health of Indiana PC | Past | Accepting new patients |
Locations
4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402
813 N Lincoln St
Greensburg, IN 47240
Phone (812) 663-7515
4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510
2705 S Berkley Rd
Kokomo, IN 46902
Phone (765) 453-2200
2705 S Berkley Rd
Ste 4D
Kokomo, IN 46902
Phone (317) 453-5444
330 N Wabash Ave
Ste 470
Marion, IN 46952
Phone (765) 455-8822
3620 W Bethel Ave
Muncie, IN 47304
Phone (317) 428-5027
1107 S Tillotson Ave
Muncie, IN 47304
1107 S Tillotson Ave
Ste 1
Muncie, IN 47304
Phone (765) 213-3024
1007 N 16th St
New Castle, IN 47362
Phone (765) 284-4220
900 Sim Hodgin Pkwy
Richmond, IN 47374
Phone (317) 395-3178
2302 Chester Blvd
Ste A
Richmond, IN 47374
Phone (765) 488-0345
2451 Intelliplex Dr
Ste 250
Shelbyville, IN 46176
Phone (317) 395-5055
Interoperability endpoints
- katherine.wadsworth.2@7598.direct.athenahealth.com
- katherine.wadsworth@roci.eclinicaldirectplus.com
- katherine.wadsworth.1@7598.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Addiction Medicine (Internal Medicine) Physician
- Alexandria, IN
- NPI 1023464294
-
- Family Medicine Physician
- Hanover, IN
- NPI 1649770769
-
- Rheumatology Physician
- Muncie, IN
- NPI 1306334255
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Internal Medicine Physician
- Kokomo, IN
- NPI 1730884131
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, IN
- NPI 1063457380
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1508588708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 S TILLOTSON AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473044517",
"telephone_number": "765-717-5399",
"fax_number": "855-792-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 S TILLOTSON AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473044517",
"telephone_number": "765-717-5399"
}
],
"practiceLocations": [
{
"address_1": "2100 N Main St Ste 304",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463071877",
"country_code": "US",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "409 SE Greenville Ave",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "IN",
"postal_code": "473949464",
"country_code": "US",
"telephone_number": "765-584-0480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 N Wabash Ave Ste 470",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "IN",
"postal_code": "469522685",
"country_code": "US",
"telephone_number": "765-717-5399",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2451 Intelliplex Dr Ste 250",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "IN",
"postal_code": "461768581",
"country_code": "US",
"telephone_number": "765-717-5399",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1007 N 16th St",
"address_purpose": "LOCATION",
"city": "New Castle",
"state": "IN",
"postal_code": "473624320",
"country_code": "US",
"telephone_number": "765-717-5399",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Sim Hodgin Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "IN",
"postal_code": "473741932",
"country_code": "US",
"telephone_number": "765-717-5399",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2705 S Berkley Rd Ste 4D",
"address_purpose": "LOCATION",
"city": "Kokomo",
"state": "IN",
"postal_code": "469028007",
"country_code": "US",
"telephone_number": "765-717-5399",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "813 N Lincoln St",
"address_purpose": "LOCATION",
"city": "Greensburg",
"state": "IN",
"postal_code": "472401330",
"country_code": "US",
"telephone_number": "765-717-5399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WADSWORTH",
"first_name": "KATHERINE",
"middle_name": "JEAN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2025-02-11",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71013030A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.