Individual provider Active NPI

Kyra Dee Tatman, NP

  • Nurse Practitioner
  • Bedford, IN
National Provider Identifier
1679768774
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71005695A Issued in IN
Practice address
2900 16TH St
Bedford, IN 47421-3510
Phone
(812) 275-1381
Fax
(812) 275-1299
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71005695A IN Primary

Addresses

Primary practice location

2900 16TH St
Bedford, IN 47421-3510

Mailing address

18237 Crownhill Dr
South Bend, IN 46637-4326

Other practice location 1

301 E Day Rd
Mishawaka, IN 46545-3455
Phone (574) 234-8161

Other practice location 2

11141 Parkview Plaza Dr Ste 305
Fort Wayne, IN 46845-1715
Phone (260) 266-8900

Other practice location 3

621 Memorial Dr Ste 502
South Bend, IN 46601-1075
Phone (574) 647-5875

Other practice location 4

211 N Eddy St
South Bend, IN 46617-3096
Phone (574) 234-8161

Other identifiers 2

IdentifierTypeStateIssuer
236040329OtherINMEDICARE PTAN
300051488MedicaidIN

Other names 1

  • Kyra Dee Miller Former name

Electronic endpoints 5

TypeEndpointUseAffiliation
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Direct Messaging Address ktatman@direct.iuhealth.org Direct
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Direct Messaging Address ktatman693901@Direct.Parkviewexchange.com
Direct Messaging Address ktatman@mybeacon.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, PA2 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
I20200305001237 IN Practitioner - Nurse Practitioner 2567522576 Reassigns benefits to 5 organizations
I20241001000493 PA Practitioner - Nurse Practitioner 2567522576 Reassigns benefits to 1 organization

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
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
Marion General HospitalGroup PAC ID 9133023625, 115 clinicians
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020

441 N Wabash Ave
Marion, IN 46952-2612
Phone (765) 660-6000

621 Memorial Dr
Suite 502
South Bend, IN 46601-1075
Phone (574) 647-5875

Hospital & facility affiliations

  • Marion General Hospital Hospital, Marion, IN, CCN 150011
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Sep 1, 2024 Accepting new patients
Geisinger Clinic CurrentSince Sep 1, 2024 Accepting new patients
Beacon Medical Group, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Jan 15, 2023 Accepting new patients
Marion General Hospital CurrentSince Sep 22, 2025 Accepting new patients
Beacon Medical Group Inc CurrentSince Mar 1, 2020 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Parkview Health System Inc Nurse Practitioner CurrentSince Dec 22, 2025 Accepting new patients
Marion General Hospital CurrentSince Sep 22, 2025 Accepting new patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Nurse Practitioner CurrentSince Jan 15, 2023 Accepting new patients
Sherman Oaks Emergency Medical Associates PastSince Nov 15, 2020 Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

11141 Parkview Plaza Dr
Ste 305
Fort Wayne, IN 46845
Phone (260) 266-8900

4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

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

1130 N Baldwin Ave
Marion, IN 46952
Phone (765) 660-7480

330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

615 N Michigan St
Ste 502
South Bend, IN 46601
Phone (574) 647-1000

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

621 Memorial Dr
Ste 502
South Bend, IN 46601
Phone (574) 234-9001

100 N Academy Ave
Danville, PA 17822

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Interoperability endpoints

  • Direct secure messaging: ktatman@direct.iuhealth.org
  • Direct secure messaging: ktatman@mybeacon.cernerdirect.com
  • Direct secure messaging: ktatman693901@direct.parkviewexchange.com

Organizations & group practices 13

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.

View all 13

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1679768774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18237 CROWNHILL DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466374326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213510",
            "telephone_number": "812-275-1381",
            "fax_number": "812-275-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Day Rd",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465453455",
            "country_code": "US",
            "telephone_number": "574-234-8161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11141 Parkview Plaza Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451715",
            "country_code": "US",
            "telephone_number": "260-266-8900",
            "fax_number": "260-266-8935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Memorial Dr Ste 502",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011075",
            "country_code": "US",
            "telephone_number": "574-647-5875",
            "fax_number": "574-647-5878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 N Eddy St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466173096",
            "country_code": "US",
            "telephone_number": "574-234-8161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATMAN",
        "first_name": "KYRA",
        "middle_name": "DEE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005695A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "236040329",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300051488",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11141 Parkview Plaza Dr Ste 305",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktatman@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2900 16th St",
            "city": "Bedford",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474213510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11141 Parkview Plaza Dr Ste 305",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktatman693901@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11141 Parkview Plaza Dr Ste 305",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktatman@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "615 N Michigan St Ste 502",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466011033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KYRA",
            "last_name": "MILLER",
            "middle_name": "DEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.