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

Kelsey Kippenbrock

Individual provider Nurse Practitioner · NPI 1154100063

Kelsey Kippenbrock is a Nurse Practitioner in Evansville, Indiana. Qualified in 2023, 3 years ago. Practices with Deaconess Clinic Inc, a 409-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2023
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Practice location Address checks out

4506 1st Ave
Evansville, IN 47710-3624
Phone: (812) 428-6161
Fax: (812) 421-2883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71014363A (IN)

Record details

NPI number1154100063
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Deaconess Clinic Inc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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