Individual provider Active NPI

Katy Cool, NP

  • Family Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1972201580
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08220450 Issued in IN
Practice address
2401 W University Ave Ste 504
Muncie, IN 47303-3428
Phone
(765) 289-7444
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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 F08220450 IN Primary

Addresses

Primary practice location

2401 W University Ave Ste 504
Muncie, IN 47303-3428

Mailing address

8000 N Tanglewood LN
Muncie, IN 47304-9191
Phone (765) 748-7204

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
I20230330001137 IN Practitioner - Nurse Practitioner 1052785235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates LLCGroup PAC ID 5799876678, 6 clinicians
Linke Robotics LLCGroup PAC ID 1254856503, 4 clinicians

Practice addresses (Care Compare)

141 W 22ND St
Suite 213
Anderson, IN 46016-4389
Phone (765) 289-7444

473 E Greenville Ave
Winchester, IN 47394-9436
Phone (765) 289-7444

7920 W Jefferson Blvd
Suite 200
Fort Wayne, IN 46804-4166
Phone (630) 346-1638

Hospital & facility affiliations

  • Ascension St Vincent Randolph Hospital, Winchester, IN, CCN 151301
  • Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088
  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
  • Indiana University Health Jay, Inc. Hospital, Portland, IN, CCN 151320
  • Marion General Hospital Hospital, Marion, IN, CCN 150011

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F08220450INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates, LLC CurrentSince Apr 4, 2023 Accepting new patients
Urology Associates, LLC CurrentSince Apr 4, 2023 Accepting new patients

Locations

141 W 22nd St
Ste 213
Anderson, IN 46016
Phone (317) 643-0766

2401 W University Ave
Ste 504
Muncie, IN 47303

2525 W University Ave
Ste 504
Muncie, IN 47303
Phone (765) 289-7127

473 SE Greenville Ave
Winchester, IN 47394
Phone (765) 584-0004

Interoperability endpoints

  • Direct secure messaging: kcool632335@ecommunitydirect.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 8

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1972201580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 N TANGLEWOOD LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473049191",
            "telephone_number": "765-748-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE STE 504",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-289-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOL",
        "first_name": "KATY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F08220450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.