Individual provider Active NPI

Roberta Darlene Kilburn, FNP-C

  • Family Nurse Practitioner
  • Austin, IN
National Provider Identifier
1609203082
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004664A Issued in IN
Practice address
2277 W Frontage Rd
Austin, IN 47102-8828
Phone
(812) 280-2080
Fax
(812) 206-1243
NPI assigned
Oct 1, 2013
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71004664A IN Primary

Addresses

Primary practice location

2277 W Frontage Rd
Austin, IN 47102-8828

Mailing address

460 Spring St
Jeffersonville, IN 47130-3452
Phone (812) 280-2080

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
I20140117001462 IN Practitioner - Nurse Practitioner 5395973408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespring, IncGroup PAC ID 5294624508, 65 clinicians

Practice addresses (Care Compare)

1321 S Jackson St
Salem, IN 47167-9730

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespring, Inc CurrentSince Nov 27, 2023 Accepting new patients
Lifespring, Inc CurrentSince Nov 27, 2023 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
Major Hospital Past Accepting new patients
Lifespring Inc Past Accepting new patients
Clear Tones Hearing Past Accepting new patients
Lifespring, Inc Past Accepting new patients

Locations

2277 W Frontage Rd
Austin, IN 47102
Phone (812) 413-3117

460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583

1321 S Jackson St
Salem, IN 47167
Phone (812) 883-3095

Organizations & group practices 7

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 1

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": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1609203082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SPRING ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303452",
            "telephone_number": "812-280-2080",
            "fax_number": "812-206-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 W FRONTAGE RD",
            "city": "AUSTIN",
            "state": "IN",
            "postal_code": "471028828",
            "telephone_number": "812-280-2080",
            "fax_number": "812-206-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBURN",
        "first_name": "ROBERTA",
        "middle_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004664A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, IN

Sources for this page

Verify at the official NPI Registry.