MEDICARE: KRISTI K ORBAUGH NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	71000036A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00452367	OTHER	IN	MEDICARE RR
2	P01751210	OTHER	IN	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	000000328310	OTHER	IN	ANTHEM PIN (QOC)
4	000000379921	OTHER	IN	ANTHEM PIN (ICCC)
5	000000523862	OTHER	IN	ANTHEM PIN (CHOP)
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134191679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTI K ORBAUGH NP

Provider Business Mailing Address
First Line	:	6626 E 75TH ST STE 500
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7979 N SHADELAND AVE
Second Line	:	STE 200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2042
Country	:	US
Telephone Number	:	317-621-4300
Fax Number	:	317-621-4301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	11/27/2023

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Directions to “ KRISTI K ORBAUGH NP” Practice Location

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