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

Kristen Conway Fakes

Individual provider Nurse Practitioner · NPI 1578349965

Kristen Conway Fakes is a Nurse Practitioner in Rensselaer, Indiana. Qualified in 2022, 4 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1104 E Grace St
Rensselaer, IN 47978-3211
Phone: (219) 866-5141
Fax: (218) 866-2070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 S Creasy Ln, Lafayette, IN 47905-4972 — (765) 502-4000

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 71014561A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 28240075A (IN)

Record details

NPI number1578349965
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 1, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023

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

Other providers in Rensselaer