Individual provider Active NPI

Annette Renae Klem, FNP-C

  • Family Nurse Practitioner
  • Washington, IN
National Provider Identifier
1659922789
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009444A Issued in IN
Practice address
600 S State Road 57
Washington, IN 47501-4371
Phone
(812) 257-1052
Fax
(812) 996-7649
NPI assigned
Sep 20, 2019
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 71009444A IN
Family Nurse Practitioner 363LF0000X 71009444A IN Primary

Addresses

Primary practice location

600 S State Road 57
Washington, IN 47501-4371

Mailing address

PO Box 631767
Cincinnati, OH 45263-1767
Phone (812) 450-6815

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
I20191019000115 IN Practitioner - Nurse Practitioner 0648501809 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Memorial Medical Center IncGroup PAC ID 4587578042, shared by 8 NPIs, 140 clinicians

Practice addresses (Care Compare)

26020 State Rd
Suite 145
Bristow, IN 47515-8865
Phone (812) 357-2097

303 N Meridian St
Holland Family Medicine
Holland, IN 47541-9656
Phone (812) 536-3943

5066 N 900
Coutry Health Center
Montgomery, IN 47558-5790
Phone (812) 486-3396

600 S State Rd 57 a
Memorial Health Washington
Washington, IN 47501-4371
Phone (812) 257-1052

600 S State Rd 57 B
Memorial Health Washington
Washington, IN 47501-4371
Phone (812) 674-4040

679 S State Rd
145 French Lick Family Medicine
French Lick, IN 47432-8328
Phone (812) 936-6400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc Nurse Practitioner CurrentSince Nov 20, 2023 Accepting new patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince Feb 24, 2025 Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner CurrentSince Feb 24, 2025 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Nov 20, 2023 Accepting new patients
Deaconess Memorial Medical Center Inc Nurse Practitioner Current Accepting new patients
Deaconess Memorial Medical Center Inc Nurse Practitioner Current Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Memorial Medical Center Inc Nurse Practitioner Current Accepting new patients
Deaconess Memorial Medical Center, Inc Nurse Practitioner Current Accepting new patients
Deaconess Memorial Medical Center Inc Nurse Practitioner CurrentSince Nov 20, 2023 Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Past Accepting new patients

Locations

4 W Vine St
Dale, IN 47523
Phone (812) 937-7140

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

115 S Main St
Ferdinand, IN 47532
Phone (812) 367-1906

679 S State Road 145
French Lick, IN 47432
Phone (812) 481-7200

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

105 Cooper St
Loogootee, IN 47553
Phone (812) 295-2812

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1003 E Illinois St
Petersburg, IN 47567
Phone (812) 354-3458

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

600 S State Road 57
Washington, IN 47501
Phone (812) 257-1052

Interoperability endpoints

  • Direct secure messaging: aklem33784@direct.mhhcc.org
  • Direct secure messaging: aklem338598@direct.deaconess.com

Organizations & group practices 12

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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1659922789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631767",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631767",
            "telephone_number": "812-450-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S STATE ROAD 57",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014371",
            "telephone_number": "812-257-1052",
            "fax_number": "812-996-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEM",
        "first_name": "ANNETTE",
        "middle_name": "RENAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009444A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009444A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.