Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlin Noel Park, FNP-C

Individual provider Nurse Practitioner · NPI 1083324867

Kaitlin Noel Park, FNP-C is a Nurse Practitioner in Michigan City, Indiana. Qualified in 2022, 4 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3500 Franciscan Way Ste 400
Michigan City, IN 46360-0033
Phone: (219) 878-8200
Fax: (219) 878-8331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71013386A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 28215463A (IN)

Record details

NPI number1083324867
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 1, 2022
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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