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KATHLEEN PIRTLE FNP
NPI 1770823387
Nurse Practitioner in Sullivan, IN

Active since February 19, 2013PECOS EnrolledAccepts Medicare Assignment
2186 N HOSPITAL BLVD STE 2, SULLIVAN, IN 47882(812) 268-3318 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 30, 2026, Feb 27, 2025, Apr 27, 2021 and 2 more (5 updates tracked since 2017).

About Kathleen Pirtle Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN PIRTLE FNP (NPI 1770823387) is an individual nurse practitioner in Sullivan, Indiana, licensed in Indiana (71004331A) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and maintains a secondary practice location in Sullivan.

NPPES Registry Identity

NPI1770823387
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHLEEN PIRTLECredential: FNP
Location Address2186 N HOSPITAL BLVD STE 2Sullivan, IN 47882-7654
Mailing AddressPo Box 10Sullivan, IN 47882-0010 · (812) 268-3318 · Fax (812) 268-2544
Phone(812) 268-3318
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 19, 2013
Last NPPES UpdateJanuary 30, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1770823387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71004331A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2186 N HOSPITAL BLVD STE 2, Sullivan, IN 47882
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Secondary Practice Location 1

Location 12229 Mary Sherman DrSullivan, IN 47882-7633 · Phone (812) 268-3318 ext. 206 · Fax (812) 268-4017

Other Identifiers 2

Medicaid201143270IN
Medicaid200015680AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Pirtle Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426287418
PECOS Enrollment IDI20140218000177
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathleen Pirtle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sullivan County Community Hospital
Same address
Clinic/Center
2186 N HOSPITAL BLVD STE 2
Sullivan, IN 47882
  • Reassigned Medicare billing, Indiana enrollment
  • Also billed through NPI 1447805965 (Indiana), NPI 1497759260 (Indiana)
  • 27 clinicians in this Medicare group
NPI 1497363303 (812) 268-3318
Ambucare Clinic
21 mi
Family Medicine
3387 S US HIGHWAY 41
Terre Haute, IN 47802
  • Reassigned Medicare billing, Indiana enrollment
  • 11 clinicians in this Medicare group
NPI 1013907922 (812) 232-5532

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Greene County General Hospital

Critical Access Hospitals · Linton, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number151317
Location1185 N 1000 WLinton, IN 47441 · Greene County
Emergency services Birthing friendly

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN
OwnershipGovernment - Local
CMS Certification Number151327
Location2200 N Section StSullivan, IN 47882 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47882 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
1%117 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
35%295 patients2/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
16%290 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
43%489 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
21%106 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,448 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%6,912 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
54%768 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%459 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
86%2,120 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
72%2,120 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
88%2,120 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
17%2,120 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers39 claims95 services$5.81 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$17.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers32 claims37 services$89.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN D BECK M.D.
Urology
2186 N HOSPITAL BLVD STE 2
SULLIVAN, IN 47882
Sullivan County (812) 268-3318
ALEXANDRIA CLEMENTS DO
Family Medicine
2186 N HOSPITAL BLVD STE 2
SULLIVAN, IN 47882
Sullivan County (812) 268-4311
SULLIVAN COUNTY COMMUNITY HOSPITAL
Clinic/Center
2186 N HOSPITAL BLVD STE 2
SULLIVAN, IN 47882
Sullivan County (812) 268-3318
MRS. TABITHA DEE SIMPSON
Nurse Practitioner (Family)
2186 N HOSPITAL BLVD STE 2
SULLIVAN, IN 47882
Sullivan County (812) 268-3318
DR. DUSTIN CLAY ELLIS M.D.
Family Medicine
2186 N HOSPITAL BLVD STE 2
SULLIVAN, IN 47882
Sullivan County (812) 268-3318

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Pirtle's NPI number?

The NPI number for Kathleen Pirtle is 1770823387. It was assigned to this individual provider in the NPPES registry on February 19, 2013.

Where is Kathleen Pirtle located?

Kathleen Pirtle practices at 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882. The listed phone number is (812) 268-3318.

What is Kathleen Pirtle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kathleen Pirtle enrolled in Medicare?

Yes. Kathleen Pirtle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kathleen Pirtle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Pirtle reassigns Medicare benefits to 2 organizations: Sullivan County Community Hospital (Sullivan, IN) and Ambucare Clinic (Terre Haute, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Pirtle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Pirtle accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Kathleen Pirtle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kathleen Pirtle affiliated with any hospitals?

According to CMS data, Kathleen Pirtle is affiliated with Union Hospital Inc, Greene County General Hospital and Sullivan County Community Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Pirtle was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.