Individual provider Active NPI

Keri L Lowe, NP

  • Registered Nurse
  • Muncie, IN
National Provider Identifier
1609476456
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28207284A Issued in IN
Practice address
4000 W Woodway Dr
Muncie, IN 47304-4264
Phone
(765) 289-5006
Fax
(765) 741-4658
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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 71010942A IN
Registered Nurse 163W00000X 28207284A IN Primary

Addresses

Primary practice location

4000 W Woodway Dr
Muncie, IN 47304-4264

Mailing address

4000 W Woodway Dr
Muncie, IN 47304-4264
Phone (765) 289-5006

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
I20210323001122 IN Practitioner - Nurse Practitioner 4385051184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
US Therapy IncGroup PAC ID 6507893187, 81 clinicians
Woodway Internal Medicine PCGroup PAC ID 9830312263, 5 clinicians

Practice addresses (Care Compare)

3607 N Everbrook LN
Muncie, IN 47304-5220

4000 W Woodway Dr
Muncie, IN 47304-4264
Phone (765) 289-5006

Hospital & facility affiliations

  • Elara Caring Home health agency, Fort Wayne, IN, CCN 157243
  • Centerwell Home Health Home health agency, Muncie, IN, CCN 157180
  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Indiana University Health Jay, Inc. Hospital, Portland, IN, CCN 151320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28207284AINMDRegistered Nurse
71010942AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woodway Internal Medicine PC CurrentSince Mar 11, 2021 Accepting new patients

Locations

4000 W Woodway Dr
Muncie, IN 47304
Phone (765) 213-4950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27103/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 5

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": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1609476456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W WOODWAY DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044264",
            "telephone_number": "765-289-5006",
            "fax_number": "765-741-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W WOODWAY DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044264",
            "telephone_number": "765-289-5006",
            "fax_number": "765-741-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "KERI",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010942A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28207284A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.