Individual provider Active NPI

Kathleen Pirtle, FNP

  • Nurse Practitioner
  • Sullivan, IN
National Provider Identifier
1770823387
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71004331A Issued in IN
Practice address
2186 N Hospital Blvd Ste 2
Sullivan, IN 47882-7654
Phone
(812) 268-3318
NPI assigned
Feb 19, 2013
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 71004331A IN Primary

Addresses

Primary practice location

2186 N Hospital Blvd Ste 2
Sullivan, IN 47882-7654

Mailing address

PO Box 10
Sullivan, IN 47882-0010
Phone (812) 268-3318

Other practice location 1

2229 Mary Sherman Dr
Sullivan, IN 47882-7633
Phone (812) 268-3318 ext. 206

Other identifiers 2

IdentifierTypeStateIssuer
200015680AMedicaidIN
201143270MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathleen.pirtle.1@8793.direct.athenahealth.com Direct

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
I20140218000177 IN Practitioner - Nurse Practitioner 8426287418 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sullivan County Community HospitalGroup PAC ID 2466497482, shared by 5 NPIs, 44 clinicians

Practice addresses (Care Compare)

2229 Mary Sherman Dr
Sullivan, IN 47882-7633
Phone (812) 268-3318

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71004331AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ambucare Clinic CurrentSince Apr 1, 2022 Accepting new patients
Sullivan County Community Hospital CurrentSince Dec 7, 2019 Accepting new patients
Sullivan County Community Hospital CurrentSince Oct 1, 2020 Accepting new patients
Sullivan Family Practice, LLC Current Accepting new patients
Susan Koslow M.D.,Inc PastSince Apr 1, 2022 Accepting new patients

Locations

2186 N Hospital Blvd
Ste 2
Sullivan, IN 47882
Phone (812) 268-3318

2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292

2200 N Section St
#A
Sullivan, IN 47882
Phone (812) 268-3318

2200 N Section St
Ste A
Sullivan, IN 47882
Phone (812) 268-6292

2229 Mary Sherman Dr
Sullivan, IN 47882
Phone (812) 238-2100

3387 S US Highway 41
Terre Haute, IN 47802
Phone (812) 232-5532

Interoperability endpoints

  • Direct secure messaging: kathleen.pirtle.3@8793.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1770823387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478820010",
            "telephone_number": "812-268-3318",
            "fax_number": "812-268-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 N HOSPITAL BLVD STE 2",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478827654",
            "telephone_number": "812-268-3318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2229 Mary Sherman Dr",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "IN",
            "postal_code": "478827633",
            "country_code": "US",
            "telephone_number": "812-268-3318 x206",
            "fax_number": "812-268-4017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIRTLE",
        "first_name": "KATHLEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004331A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200015680A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201143270",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathleen.pirtle.1@8793.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AthenaHealthcare EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2229 Mary Sherman Dr",
            "city": "Sullivan",
            "state": "IN",
            "country_code": "US",
            "postal_code": "478827633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sullivan, IN

Sources for this page

Verify at the official NPI Registry.