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

Kristin Bannister, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1184425415

Kristin Bannister, AGACNP-BC is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2024, 2 years ago. Practices with Eskenazi Medical Group Inc, a 138-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone: (317) 880-0000
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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 71016452A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28236818A (IN)

Record details

NPI number1184425415
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedMarch 22, 2025
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Eskenazi Medical Group Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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