Individual provider Active NPI

Kaitlin Tucker, NP

  • Family Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1952049041
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09211151 Issued in IN
Practice address
301 E Carmel Dr
Carmel, IN 46032-2888
Phone
(317) 548-1483
NPI assigned
May 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 F09211151 IN Primary

Addresses

Primary practice location

301 E Carmel Dr
Carmel, IN 46032-2888

Mailing address

301 E Carmel Dr
Carmel, IN 46032
Phone (317) 548-1483

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
I20220726001135 IN Practitioner - Nurse Practitioner 6901287788 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09211151INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shadeland Anesthesia & Pain Associates Inc. CurrentSince Jul 18, 2022 Accepting new patients
Shadeland Anesthesia & Pain Associates Inc. Family CurrentSince Jul 18, 2022 Accepting new patients

Locations

29943 Network Pl
Chicago, IL 60673

8805 N Meridian St
Ste 200
Indianapolis, IN 46260
Phone (317) 571-5000

3738 Landmark Dr
Ste A
Lafayette, IN 47905
Phone (765) 807-2780

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1952049041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E CARMEL DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-548-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CARMEL DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322888",
            "telephone_number": "317-548-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KAITLIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F09211151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.