Active NPI
Terry I Neal, FNP-C
- Family Nurse Practitioner
- Wabash, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71000182
- Practice address
- 276 Manchester Ave
Wabash, IN 46992-1808 - Phone
- (260) 563-2126
- Fax
- (260) 563-2120
- NPI assigned
- Sep 19, 2005
- Last updated
- Nov 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71000182 | IN | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 71008383 | IN |
Addresses
Primary practice location
276 Manchester Ave
Wabash, IN 46992-1808
Mailing address
276 Manchester Ave
Wabash, IN 46992-1808
Phone (260) 563-2126
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000781881 | Other | IN | ANTHEM |
| 200116740 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | terry.nealfnp.p77@direct.ahni.nextgenshare.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 W Spencer Ave
Marion, IN 46952-3415
Phone (765) 613-0111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000182 | IN | MD | Family Nurse Practitioner |
| 71008383 | IN | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Indiana, LLC | Past | Accepting new patients | |
| Earnest Associates Inc | Past | Accepting new patients | |
| Marion General Hospital | Past | Accepting new patients |
Interoperability endpoints
- terry.nealfnp.p77@direct.ahni.nextgenshare.com
- tneal191368@direct.optum.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1831236272
-
- Family Medicine Physician
- Mulberry, IN
- NPI 1033220017
-
- Family Medicine Physician
- Marion, IN
- NPI 1275565343
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
dba Marion General Hospital Nutritional Support
- Nutrition Support Registered Nurse
- Marion, IN
- NPI 1861578072
Hospital
-
dba Marion General Hospital Ambulance Service
- Land Ambulance
- Marion, IN
- NPI 1932295466
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1053306712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 MANCHESTER AVE",
"city": "WABASH",
"state": "IN",
"postal_code": "469921808",
"telephone_number": "260-563-2126",
"fax_number": "260-563-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 MANCHESTER AVE",
"city": "WABASH",
"state": "IN",
"postal_code": "469921808",
"telephone_number": "260-563-2126",
"fax_number": "260-563-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "TERRY",
"middle_name": "I",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71000182",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IN",
"license": "71008383",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000781881",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200116740",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "terry.nealfnp.p77@direct.ahni.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1320 W Spencer Ave",
"city": "Marion",
"state": "IN",
"country_code": "US",
"postal_code": "469523415",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wabash, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.