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ISREAL KIRK WAKEFIELD SR. PMHNP-BC
NPI 1881484962
Nurse Practitioner - Psychiatric/Mental Health in Corydon, IN

Active since May 12, 2025PECOS Enrolled
1345 CORYDON RAMSEY RD NW STE 101, CORYDON, IN 47112(812) 269-8577 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, May 12, 2025 (2 updates tracked since 2025).

About Isreal Kirk Wakefield Sr. Pmhnp-bc NPPES

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

ISREAL KIRK WAKEFIELD SR. PMHNP-BC (NPI 1881484962) is an individual psychiatric/mental health provider in Corydon, Indiana, licensed in Ohio (0042240) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Avon, and is a graduate of Indiana Medical College, School Of Medicine Of Purdue University (2024).

NPPES Registry Identity

NPI1881484962
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameISREAL KIRK WAKEFIELD SR.Credential: PMHNP-BC
Location Address1345 CORYDON RAMSEY RD NW STE 101Corydon, IN 47112-2270
Mailing Address1345 Corydon Ramsey Rd Nw Ste 101Corydon, IN 47112-2270 · (812) 269-8577
Phone(812) 269-8577
Sole ProprietorYes
Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 2024
Enumeration DateMay 12, 2025
Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1881484962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · 0042240
1345 CORYDON RAMSEY RD NW STE 101, Corydon, IN 47112
Open in Google Maps ↗

Secondary Practice Location 1

Location 18103 E US Highway 36, 227Avon, IN 46123-7964 · Phone (317) 838-5693

Other Identifiers 1

Medicaid300118446IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isreal Kirk Wakefield Sr. Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648745091
PECOS Enrollment IDI20260414000151
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47112 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.

Other Providers at the Same Location NPPES 3

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

AMY LEE DUNCAN REGISTERED NURSE
Counselor (Addiction (Substance Use Disorder))
1345 CORYDON RAMSEY RD NW STE 101
CORYDON, IN 47112
Harrison County (812) 269-8577
WHERE WE BEGAN LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1345 CORYDON RAMSEY RD NW STE 101
CORYDON, IN 47112
Harrison County (812) 269-8577
MISS RACHEL LYNN WASHINGTON LSW, LCADC
Counselor (Addiction (Substance Use Disorder))
1345 CORYDON RAMSEY RD NW STE 101
CORYDON, IN 47112
Harrison County (812) 269-8577

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 Isreal Kirk Wakefield's NPI number?

The NPI number for Isreal Kirk Wakefield is 1881484962. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Isreal Kirk Wakefield located?

Isreal Kirk Wakefield practices at 1345 Corydon Ramsey Rd NW Ste 101, Corydon, IN 47112. The listed phone number is (812) 269-8577.

What is Isreal Kirk Wakefield's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Isreal Kirk Wakefield enrolled in Medicare?

Yes. Isreal Kirk Wakefield is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Isreal Kirk Wakefield was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.