Katie Marie Nelson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

28220469A Issued in IN

Practice address

400 N Mount Zion Rd
Lebanon, IN 46052-9497

Phone

(765) 335-0123

NPI assigned

Apr 14, 2026

Last updated

Apr 14, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1821932617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 POPLAR DR",
            "city": "WHITESTOWN",
            "state": "IN",
            "postal_code": "460759819",
            "telephone_number": "219-689-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MOUNT ZION RD",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460529497",
            "telephone_number": "765-335-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6085 Heartland Dr",
            "address_purpose": "LOCATION",
            "city": "Zionsville",
            "state": "IN",
            "postal_code": "460774432",
            "country_code": "US",
            "telephone_number": "317-768-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28220469A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha Mustin
• Amy Elizabeth Myers, MA, ATC, LAT
• Myeyedr Optometry of Indiana, LLC (MyEyeDr.)
• Kristal L Mylin, PA
• Kathryn Ilona Nastav, MS OTR
• Angelica Kay Jane Nevins, MSW
• New Hope Mental Health LLC
• Johanna Rose Newton, MD
• Sadie Nichols, RBT
• Thomas C Nies, RPH

• Nurse Practitioner in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.