Individual provider Active NPI

Kaitlin Marie Pitts

  • Gerontology Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1871366831
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71014548A Issued in IN
Practice address
600 E Carmel Dr Ste 144
Carmel, IN 46032-3053
Phone
(317) 762-8194
NPI assigned
Nov 1, 2023
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 71014548A IN Primary

Addresses

Primary practice location

600 E Carmel Dr Ste 144
Carmel, IN 46032-3053

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762
Phone (517) 212-2008

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
I20231227001167 IN Practitioner - Nurse Practitioner 2769832112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meridian Medical Services IncGroup PAC ID 6608828181, 5 clinicians

Practice addresses (Care Compare)

3524 N Meridian St
Indianapolis, IN 46208-4486
Phone (317) 925-0653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71014548AINMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careline Hin100 LLC CurrentSince Nov 1, 2023 Accepting new patients
Careline Pin100 LLC CurrentSince Nov 18, 2023 Accepting new patients
Meridian Medical Services, Inc CurrentSince Dec 24, 2025 Accepting new patients
Meridian Correctional Services LLC Current Accepting new patients
Major Hospital Past Accepting new patients

Locations

600 E Carmel Dr
Ste 100
Carmel, IN 46032
Phone (317) 762-8194

600 E Carmel Dr
Ste 144
Carmel, IN 46032
Phone (317) 349-7015

3524 N Meridian St
Indianapolis, IN 46208
Phone (317) 496-7137

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

Interoperability endpoints

  • Direct secure messaging: kaitlin.pitts.1@30205.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1871366831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "517-212-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E CARMEL DR STE 144",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323053",
            "telephone_number": "317-762-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71014548A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.