Individual provider Active NPI

Nicole Messer

  • Neonatal Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1053045021
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
71012923A Issued in IN
Practice address
8081 Township Line Rd Ste 203
Indianapolis, IN 46260-2189
Phone
(317) 415-8100
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 28223310A IN
Neonatal Nurse Practitioner 363LN0000X 71012923A IN Primary

Addresses

Primary practice location

8081 Township Line Rd Ste 203
Indianapolis, IN 46260-2189

Mailing address

8081 Township Line Rd Ste 203
Indianapolis, IN 46260-2189

Other practice location 1

8111 Township Line Rd
Indianapolis, IN 46260-2479
Phone (317) 415-8111

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
I20220923002519 IN Practitioner - Nurse Practitioner 0446635601 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28223310AINMDNeonatal Nurse Practitioner
71012923AINMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Pediatric Subspecialties CurrentSince Oct 17, 2022 Accepting new patients
St Vincent Pediatric Subspecialties CurrentSince Oct 17, 2022 Accepting new patients

Locations

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8081 Township Line Rd
Ste 203
Indianapolis, IN 46260
Phone (317) 415-7921

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921

Organizations & group practices 2

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1053045021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 TOWNSHIP LINE RD STE 203",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 TOWNSHIP LINE RD STE 203",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602189",
            "telephone_number": "317-415-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8111 Township Line Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602479",
            "country_code": "US",
            "telephone_number": "317-415-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESSER",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "IN",
            "license": "28223310A",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "IN",
            "license": "71012923A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.