Isreal Kirk Wakefield Sr., PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0042240 Issued in OH

Practice address

1345 Corydon Ramsey Rd NW Ste 101
Corydon, IN 47112-2270

Phone

(812) 269-8577

NPI assigned

May 12, 2025

Last updated

Jul 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Indiana Medical College, School of Medicine of Purdue University, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Where We Began LLC

  dba Corydon IOP & Counseling Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Corydon, IN
  • NPI 1801510854
  Medicare reassignment NPD
• Mindset Behavioral Health PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brownsburg, IN
  • NPI 1881431930
  Medicare reassignment

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1881484962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 CORYDON RAMSEY RD NW STE 101",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122270",
            "telephone_number": "812-269-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 CORYDON RAMSEY RD NW STE 101",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122270",
            "telephone_number": "812-269-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8103 E US Highway 36",
            "address_2": "227",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461237964",
            "country_code": "US",
            "telephone_number": "317-838-5693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "ISREAL KIRK",
        "name_suffix": "Sr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-12",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0042240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300118446",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee A Tornatore, DC
• Kristin Lynn Trowbridge, LMT
• Kelsey L Trueblood, NP
• Gary Lee Vangaasbeek, MD
• Karen Lynn Vannis, PHARMD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0922)
• Wal-Mart Stores East, LP (Vision Center 30-0922)
• Elizabeth Walden-Fisher, MSW
• Walgreen Co (Walgreens #10559)
• Hannah Wallace, M.ED, M.S.

• Psychiatric/Mental Health Nurse Practitioner in Corydon, IN
• Providers in Corydon, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.