Active NPI
Kristine Michelle Weldy, APN, FNP
- Family Nurse Practitioner
- Nappanee, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71004302A
- Practice address
- 2102 N. Main Street
Nappanee, IN 46550-9310 - Phone
- (574) 862-2165
- Fax
- (574) 862-4112
- NPI assigned
- Jan 29, 2013
- Last updated
- Feb 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71004302A | IN | Primary |
Addresses
Primary practice location
2102 N. Main Street
Nappanee, IN 46550-9310
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Phone (574) 647-1610
Other practice location 1
207 N Elkhart St
Wakarusa, IN 46573-9729
Phone (574) 862-4444
Other practice location 2
206 W Warren St
Middlebury, IN 46540-9410
Phone (574) 825-2146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236040286 | Other | IL | MEDICARE PTAN |
| 300010001 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmweldy@mybeacon.cernerdirect.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
207 N Elkhart St
Beacon Medical Group Wakarusa
Wakarusa, IN 46573-9729
Phone (574) 862-2165
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71004302A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Past | Accepting new patients |
Locations
1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (269) 552-2823
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
206 W Warren St
Middlebury, IN 46540
Phone (219) 825-2146
2102 N Main St
Nappanee, IN 46550
Phone (574) 862-2165
710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610
207 N Elkhart St
Wakarusa, IN 46573
Phone (574) 862-2165
Interoperability endpoints
- kmweldy@mybeacon.cernerdirect.com
Organizations & group practices 4
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.
-
dba Beacon Medical Group Schwartz - Wiekamp
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
dba Beacon Medical Group Anesthesia Elkhart
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
dba Beacon Medical Group Wanee
- Family Medicine Physician
- Nappanee, IN
- NPI 1457378069
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bremen, IN
- NPI 1568417004
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
dba Memorial Epworth Center
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
dba Beacon Granger Hospital, A Memorial Hospital Extension
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1932447760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N NILES AVE",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466171924",
"telephone_number": "574-647-1610",
"fax_number": "574-237-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 N. MAIN STREET",
"city": "NAPPANEE",
"state": "IN",
"postal_code": "465509310",
"telephone_number": "574-862-2165",
"fax_number": "574-862-4112"
}
],
"practiceLocations": [
{
"address_1": "207 N Elkhart St",
"address_purpose": "LOCATION",
"city": "Wakarusa",
"state": "IN",
"postal_code": "465739729",
"country_code": "US",
"telephone_number": "574-862-4444",
"fax_number": "574-862-4442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "206 W Warren St",
"address_purpose": "LOCATION",
"city": "Middlebury",
"state": "IN",
"postal_code": "465409410",
"country_code": "US",
"telephone_number": "574-825-2146",
"fax_number": "574-524-7435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELDY",
"first_name": "KRISTINE",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "APN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-29",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71004302A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "236040286",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300010001",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmweldy@mybeacon.cernerdirect.com",
"affiliation": "N",
"address_1": "207 N Elkhart St",
"city": "Wakarusa",
"state": "IN",
"country_code": "US",
"postal_code": "465739729",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nappanee, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.