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

Krystal Kay Lavine

Individual provider Family Nurse Practitioner · NPI 1821586207

Krystal Kay Lavine is a Nurse Practitioner in Bourbon, Indiana. Qualified in 2017, 9 years ago. Practices with Saint Joseph Regional Medical Center Inc, a 141-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2018

Practice location Address checks out

114 N Washington St
Bourbon, IN 46504-1623
Phone: (574) 335-7850
Fax: (574) 335-0755
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71008330A (IN)

Record details

NPI number1821586207
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2018
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Saint Joseph Regional Medical Center Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Bourbon