Individual provider Active NPI

Kristin Nicole Predajna, FNP-C

  • Family Nurse Practitioner
  • Westfield, IN
National Provider Identifier
1780434324
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015110A Issued in IN
Practice address
3280 E State Road 32
Westfield, IN 46074-8731
Phone
(866) 389-2727
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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 71015110A IN Primary

Addresses

Primary practice location

3280 E State Road 32
Westfield, IN 46074-8731

Mailing address

3280 E State Road 32
Westfield, IN 46074-8731
Phone (866) 389-2727

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
I20240613001923 IN Practitioner - Nurse Practitioner 0042753444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostics of Indiana LLCGroup PAC ID 3072548502, 121 clinicians

Practice addresses (Care Compare)

11591 Olio Rd
Fishers, IN 46037-7613
Phone (866) 389-2727

13085 Tegler Dr
Noblesville, IN 46060-5417
Phone (866) 389-2727

1466 W Oak St
Zionsville, IN 46077-1800
Phone (866) 389-2727

5925 E 71St St
Indianapolis, IN 46220-4003
Phone (866) 389-2727

7240 E 82ND St
Indianapolis, IN 46256-1404
Phone (866) 389-2727

9805 Geist Crossing Dr
Indianapolis, IN 46256-4819
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71015110AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince May 9, 2024 Accepting new patients

Locations

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

3280 E State Road 32
Westfield, IN 46074
Phone (317) 389-2727

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

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.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1780434324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 E STATE ROAD 32",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748731",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 E STATE ROAD 32",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748731",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREDAJNA",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015110A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

Verify at the official NPI Registry.