Individual provider Active NPI

Donna J Purviance, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1013240597
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003014A Issued in IN
Practice address
355 W 16TH St Ste 5100
Indianapolis, IN 46202-2274
Phone
(317) 396-1300
Fax
(317) 924-8472
NPI assigned
Sep 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003014A IN Primary

Addresses

Primary practice location

355 W 16TH St Ste 5100
Indianapolis, IN 46202-2274

Mailing address

355 W 16TH St Ste 5100
Indianapolis, IN 46202-2274
Phone (317) 396-1300

Other identifiers 1

IdentifierTypeStateIssuer
P00834683OtherINRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091026000387 IN Practitioner - Nurse Practitioner 4688711559 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71003014AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Urgent Care Centers, LLC. CurrentSince Dec 14, 2021 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Jan 22, 2025 Accepting new patients
University Family Physicians, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jan 22, 2025 Accepting new patients
University Family Physicians, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Dec 14, 2021 Accepting new patients
Major Hospital Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

7216 Solutions Ctr
Chicago, IL 60677

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

355 W 16th St
Ste 5100
Indianapolis, IN 46202
Phone (317) 963-8145

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

3411 N Briarwood Ln
Muncie, IN 47304
Phone (317) 870-1970

5787 S US Highway 41
Terre Haute, IN 47802
Phone (812) 219-5702

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1013240597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W 16TH ST STE 5100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022274",
            "telephone_number": "317-396-1300",
            "fax_number": "317-924-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W 16TH ST STE 5100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022274",
            "telephone_number": "317-396-1300",
            "fax_number": "317-924-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIANCE",
        "first_name": "DONNA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003014A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00834683",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.