Individual provider Active NPI

Kamalpreet Kaur

  • Family Nurse Practitioner
  • Plainfield, IN
National Provider Identifier
1760995302
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014088A Issued in IN
Practice address
2455 E Main St Ste 194
Plainfield, IN 46168-2715
Phone
(317) 268-7198
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71014088A IN Primary
Family Nurse Practitioner 363LF0000X F09220733 IN
Registered Nurse 163W00000X 95079982 CA

Addresses

Primary practice location

2455 E Main St Ste 194
Plainfield, IN 46168-2715

Mailing address

2455 E Main St Ste 194
Plainfield, IN 46168-2715

Other practice location 1

20094 Mission Blvd
Hayward, CA 94541-1237
Phone (510) 727-9755

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
I20230925001464 IN Practitioner - Nurse Practitioner 8820442882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dragonfly Primary Care LLCGroup PAC ID 9234535568, 5 clinicians

Practice addresses (Care Compare)

6835 E Southport Rd
Suite D
Indianapolis, IN 46237-9714
Phone (317) 759-1843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95079982CAMDRegistered Nurse
F09220733INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dragonfly Primary Care LLC Family CurrentSince Nov 14, 2024 Accepting new patients
Cleanslate Medical Group of Indiana LLC CurrentSince Sep 1, 2023 Accepting new patients
Major Hospital Past Accepting new patients
Humanistic Alternatives to Addiction Research and Treatment, Inc. Past Accepting new patients
Humanistic Alternatives to Addiction, Research and Treatment Inc. Past Accepting new patients

Locations

4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402

833 Indianapolis Rd
Ste E
Greencastle, IN 46135
Phone (765) 301-3680

6835 E Southport Rd
Ste D
Indianapolis, IN 46237
Phone (317) 572-7076

2455 E Main St
#194
Plainfield, IN 46168
Phone (317) 268-7198

8 Cadillac Dr
Ste 180
Brentwood, TN 37027

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24338/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1760995302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 E MAIN ST STE 194",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 E MAIN ST STE 194",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682715",
            "telephone_number": "317-268-7198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20094 Mission Blvd",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945411237",
            "country_code": "US",
            "telephone_number": "510-727-9755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "KAMALPREET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2024-06-22",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014088A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F09220733",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95079982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.