Individual provider Active NPI

Kaitlyn Nevill, FNP-C

  • Family Nurse Practitioner
  • Brazil, IN
National Provider Identifier
1740760784
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008661A Issued in IN
Practice address
503 W National Ave
Brazil, IN 47834-2502
Phone
(812) 995-4197
Fax
(833) 450-6291
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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 71008661A IN Primary

Addresses

Primary practice location

503 W National Ave
Brazil, IN 47834-2502

Mailing address

503 W National Ave
Brazil, IN 47834-2502
Phone (812) 995-4197

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
I20190122001254 IN Practitioner - Nurse Practitioner 5496092074 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
Telehealth
Offers telehealth services
Group practices
Elevate Care Clinic, LLCGroup PAC ID 5597126839, 2 clinicians

Practice addresses (Care Compare)

503 W National Ave
Elevate Care Clinic
Brazil, IN 47834-2502
Phone (812) 995-4197

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Bloomington, IN, CCN 157578
  • Visiting Nurse Association of the Wabash Valley in Home health agency, Terre Haute, IN, CCN 157015
  • Ascension St Vincent Clay Hospital, Brazil, IN, CCN 151309
  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008661AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Care Clinic LLC CurrentSince Mar 15, 2023 Accepting new patients

Locations

503 W National Ave
Brazil, IN 47834
Phone (812) 251-4873

Interoperability endpoints

  • Direct secure messaging: kaitlyn.nevill.1@30537.direct.athenahealth.com

Organizations & group practices 1

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1740760784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W NATIONAL AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342502",
            "telephone_number": "812-995-4197",
            "fax_number": "833-450-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W NATIONAL AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342502",
            "telephone_number": "812-995-4197",
            "fax_number": "833-450-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVILL",
        "first_name": "KAITLYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008661A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brazil, IN

Sources for this page

Verify at the official NPI Registry.