Individual provider Active NPI

Kayla Ann Nobbe, FNP

  • Family Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1891367058
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011327A Issued in IN
Practice address
13655 Smokey Ridge PL
Carmel, IN 46033-9265
Phone
(317) 827-2987
Fax
(317) 219-0879
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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 71011327A IN Primary

Addresses

Primary practice location

13655 Smokey Ridge PL
Carmel, IN 46033-9265

Mailing address

PO Box 6033
Fishers, IN 46038-6033
Phone (317) 827-2987

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
I20210824001582 IN Practitioner - Nurse Practitioner 9830594258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1100 Reid Pkwy
Richmond, IN 47374-1157

1475 E State Rd 44
2 UC Connersville
Connersville, IN 47331-0218
Phone (765) 825-8686

1501 Chester Blvd
Richmond, IN 47374-1914
Phone (765) 935-1905

2507 Chester Blvd
SPC B
Richmond, IN 47374-1105
Phone (765) 935-8877

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71011327AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc CurrentSince Jul 11, 2022 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Jul 11, 2022 Accepting new patients
Endeavor Comprehensive Care LLC Family PastSince Nov 20, 2022 Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

Interoperability endpoints

  • Direct secure messaging: knobbe300781@reidhealth.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1891367058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6033",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460386033",
            "telephone_number": "317-827-2987",
            "fax_number": "317-219-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13655 SMOKEY RIDGE PL",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339265",
            "telephone_number": "317-827-2987",
            "fax_number": "317-219-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBBE",
        "first_name": "KAYLA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011327A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.