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

Mr. Kenneth A Havenstrite Jr., ANP-BC, NP

Individual provider Adult Health Nurse Practitioner · NPI 1861736688

Mr. Kenneth A Havenstrite Jr., ANP-BC, NP is a Nurse Practitioner in Muncie, Indiana. Qualified in 2012, 14 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
14
Licensed in
IN
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2598 W White Rivet Blvd
Muncie, IN 47303-5251
Phone: (765) 284-7738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3600 W Bethel Ave, Muncie, IN 47304-5407 — (765) 284-7738

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 71004277A (IN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 28177733A (IN)

Record details

NPI number1861736688
Entity typeIndividual (Type 1)
GenderMale
Credentials ANP-BC , NP
Sole proprietorNo
NPI enumeratedNovember 16, 2012
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 13, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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