Individual provider Active NPI

Anthony Couch

  • Adult Health Nurse Practitioner
  • Greenwood, IN
National Provider Identifier
1033786983
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71011187A Issued in IN
Practice address
1007 Heatherwood Dr
Greenwood, IN 46143-6940
Phone
(317) 523-3846
NPI assigned
Jun 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71011187A IN Primary

Addresses

Primary practice location

1007 Heatherwood Dr
Greenwood, IN 46143-6940

Mailing address

1007 Heatherwood Dr
Greenwood, IN 46143-6940
Phone (317) 523-3846

Other identifiers 2

IdentifierTypeStateIssuer
Q001981696OtherINRAILROAD MEDICARE
300051009MedicaidIN

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
I20210614001661 IN Practitioner - Nurse Practitioner 3072913094 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011187AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nora Urgent Care LLC CurrentSince Sep 13, 2023 Accepting new patients
Nora Urgent Care LLC CurrentSince Sep 13, 2023 Accepting new patients
Major Hospital Past Accepting new patients

Locations

860 E 86th St
Ste 4
Indianapolis, IN 46240
Phone (317) 975-3441

10950 Pendleton Pike
Indianapolis, IN 46236
Phone (317) 355-2470

Interoperability endpoints

  • Direct secure messaging: acouch126599@ecommunitydirect.com

Organizations & group practices 4

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1033786983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 HEATHERWOOD DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436940",
            "telephone_number": "317-523-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 HEATHERWOOD DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436940",
            "telephone_number": "317-523-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71011187A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "Q001981696",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300051009",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.