Individual provider Active NPI

Kelsey L Trueblood, NP

  • Family Nurse Practitioner
  • Corydon, IN
National Provider Identifier
1568017002
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009289A Issued in IN
Practice address
1995 Edsel LN NW
Corydon, IN 47112-3008
Phone
(812) 738-4251
Fax
(812) 738-7833
NPI assigned
Aug 1, 2019
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71009289A IN
Family Nurse Practitioner 363LF0000X 71009289A IN Primary

Addresses

Primary practice location

1995 Edsel LN NW
Corydon, IN 47112-3008

Mailing address

PO Box 270
Paoli, IN 47454-0270
Phone (812) 723-3944

Other practice location 1

1414 W Broadway St
Princeton, IN 47670-1142
Phone (812) 385-5283

Other practice location 2

11700 N Meridian St
Carmel, IN 46032-4656
Phone (317) 688-2000

Other practice location 3

5604 E White Oak Ln
Marengo, IN 47140-8413
Phone (812) 365-3221

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktrueblood@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190912000563 IN Practitioner - Nurse Practitioner 3173852480 Reassigns benefits to 4 organizations
I20200211001069 KY Practitioner - Nurse Practitioner 3173852480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarksville Emergency Group PCGroup PAC ID 6507277423, 149 clinicians
Harrison County HospitalGroup PAC ID 9032007208, shared by 12 NPIs, 45 clinicians

Practice addresses (Care Compare)

1141 Hospital Dr NW
Corydon, IN 47112-2164
Phone (812) 738-4251

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-2000

1995 Edsel LN NW
Corydon, IN 47112-3008

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Emergency Group, PC Nurse Practitioner CurrentSince Oct 9, 2021 Accepting new patients
Southern Indiana Community Health Care, Inc CurrentSince Sep 20, 2021 Accepting new patients
Southern Indiana Community Health Care, Inc Current Accepting new patients
Harrison County Hospital CurrentSince Jan 9, 2025 Accepting new patients
Southern Indiana Community Health Care, Inc CurrentSince Sep 20, 2021 Accepting new patients
Harrison County Hospital CurrentSince Jan 9, 2025 Accepting new patients
Indiana University Health Care Associates, Inc Family CurrentSince Oct 1, 2024 Accepting new patients
Harrison County Hospital Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1995 Edsel Ln NW
Corydon, IN 47112
Phone (502) 572-0802

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

5604 E White Oak Ln
Marengo, IN 47140
Phone (812) 365-3221

420 W Longest St
Paoli, IN 47454
Phone (812) 723-3944

Interoperability endpoints

  • Direct secure messaging: kelseytrueblood@sichc.allscriptsdirect.net
  • Direct secure messaging: ktrueblood212136@direct.deaconess.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1568017002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474540270",
            "telephone_number": "812-723-3944",
            "fax_number": "812-723-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 EDSEL LN NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471123008",
            "telephone_number": "812-738-4251",
            "fax_number": "812-738-7833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "IN",
            "postal_code": "476701142",
            "country_code": "US",
            "telephone_number": "812-385-5283",
            "fax_number": "812-385-5274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11700 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460324656",
            "country_code": "US",
            "telephone_number": "317-688-2000",
            "fax_number": "317-963-5492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5604 E White Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Marengo",
            "state": "IN",
            "postal_code": "471408413",
            "country_code": "US",
            "telephone_number": "812-365-3221",
            "fax_number": "812-365-9502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUEBLOOD",
        "first_name": "KELSEY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009289A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009289A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktrueblood@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11700 N Meridian St",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460324656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.