Individual provider Active NPI

Kaycie Patrick, NP

  • Family Nurse Practitioner
  • New Castle, IN
National Provider Identifier
1942615661
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009078A Issued in IN
Practice address
2200 Forest Ridge Pkwy Ste 240
New Castle, IN 47362-2943
Phone
(765) 521-7385
Fax
(765) 521-7394
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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 71009078A IN Primary

Addresses

Primary practice location

2200 Forest Ridge Pkwy Ste 240
New Castle, IN 47362-2943

Mailing address

800 Main St
Ste 308
Anderson, IN 46016-1559
Phone (765) 644-0500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpatrick@hcmh.cernerdirect.com Direct

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
I20190829001301 IN Practitioner - Nurse Practitioner 2466780457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Castle Clinic IncGroup PAC ID 3274528757, 33 clinicians
Cutting Edge Physical Therapy Limited PartnershipGroup PAC ID 6406869163, 109 clinicians
US Therapy IncGroup PAC ID 6507893187, 81 clinicians

Practice addresses (Care Compare)

2200 Forest Ridge Pkwy
Suite 240
New Castle, IN 47362-2943
Phone (765) 521-7385

2390 National Rd W
Richmond, IN 47374-4625

3607 N Everbrook LN
Muncie, IN 47304-5220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71009078AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Castle Clinic Inc CurrentSince Sep 16, 2019 Accepting new patients
Henry County Memorial Hospital CurrentSince Jan 7, 2024 Accepting new patients
New Castle Clinic Inc CurrentSince Sep 16, 2019 Accepting new patients
Henry County Memorial Hospital Family Current Accepting new patients
Henry County Memorial Hospital CurrentSince Jan 7, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1 Memorial Sq
Ste 2100
Greenfield, IN 46140
Phone (317) 325-2663

1007 N 16th St
New Castle, IN 47362
Phone (765) 284-4220

2200 Forest Ridge Pkwy
Ste 240
New Castle, IN 47362
Phone (765) 521-7385

Organizations & group practices 8

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 3

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1942615661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "address_2": "STE 308",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161559",
            "telephone_number": "765-644-0500",
            "fax_number": "765-644-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FOREST RIDGE PKWY STE 240",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622943",
            "telephone_number": "765-521-7385",
            "fax_number": "765-521-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "KAYCIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009078A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatrick@hcmh.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2200 Forest Ridge Pkwy Ste 240",
            "city": "New Castle",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473622943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

Verify at the official NPI Registry.