Individual provider Active NPI

Karen M Whitman, ANP-C

  • Adult Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1972580488
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71001887A Issued in IN
Practice address
9775 Crosspoint Blvd Ste 118
Indianapolis, IN 46256-3376
Phone
(317) 381-0095
Fax
(317) 381-0121
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71001887A IN Primary

Addresses

Primary practice location

9775 Crosspoint Blvd Ste 118
Indianapolis, IN 46256-3376

Mailing address

9775 Crosspoint Blvd Ste 118
Indianapolis, IN 46256-3376
Phone (317) 381-0095

Other identifiers 1

IdentifierTypeStateIssuer
200526980MedicaidIN

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
I20050811000196 IN Practitioner - Nurse Practitioner 6204865116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10241 E County Rd 100
Indianapolis, IN 46234-9016
Phone (317) 561-6838

Hospital & facility affiliations

  • Life'S Journey of Avon LLC Hospice, Indianapolis, IN, CCN 151628

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001887AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifes Journey Palliative Care CurrentSince Nov 20, 2023 Accepting new patients
Westmed, LLC PastSince May 17, 2020 Accepting new patients
Major Hospital Past Accepting new patients

Locations

10241 E County Road 100 N
Indianapolis, IN 46234
Phone (317) 561-6838

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 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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1972580488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 CROSSPOINT BLVD STE 118",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563376",
            "telephone_number": "317-381-0095",
            "fax_number": "317-381-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 CROSSPOINT BLVD STE 118",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563376",
            "telephone_number": "317-381-0095",
            "fax_number": "317-381-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71001887A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200526980",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.