Kari Klisurich

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71009330B Issued in IN

Practice address

3145 45TH St Ste M
Highland, IN 46322-3292

Phone

(219) 922-9150

Fax

(219) 922-9180

NPI assigned

Jul 18, 2019

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kklisurich93759@ssdirect.comhs.org

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.

• Community Care Network Inc

  dba Powers Health Medical Group

  • Family Medicine Physician
  • St John, IN
  • NPI 1457610487
  Medicare reassignment NPD

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1568015592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 45TH ST STE M",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223292",
            "telephone_number": "219-922-9150",
            "fax_number": "219-922-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 45TH ST STE M",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223292",
            "telephone_number": "219-922-9150",
            "fax_number": "219-922-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLISURICH",
        "first_name": "KARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28209136A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009330B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Kidd, LSW
• Suzanne Poist Killmer, COTA/L
• Ahna Elizabeth Klassen, RBT
• Jonathan Edward Kledzik
• Stuart M Klein, M.D.
• Joel R Korczak, D.D.S.
• Madeline Beatrix Kozy
• Ermioni Krinakis, BCBA
• Connie Kunelis, DDS
• Kurt M. Halum, DMD, PC

• Family Nurse Practitioner in Highland, IN
• Providers in Highland, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.