Active NPI
Alicia Kay Bates, NP
- Nurse Practitioner
- Decatur, IN
National Provider Identifier
1053391037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71001926A
- Practice address
- 1100 Mercer Ave
Decatur, IN 46733-2303 - Phone
- (260) 724-2145
- Fax
- (260) 724-2145
- NPI assigned
- Jan 18, 2006
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71001926A | IN | Primary |
Addresses
Primary practice location
1100 Mercer Ave
Decatur, IN 46733-2303
Mailing address
955 High St
Ste 2
Decatur, IN 46733-2326
Phone (260) 724-8700
Other practice location 1
955 High St
Ste 2
Decatur, IN 46733-2326
Phone (260) 724-8700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200530800 | Medicaid | IN | |
| 000000373877 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Adams County Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- alicia.bates.1@14940.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Adams Medical Group - High Street
- Rural Health Clinic/Center
- Decatur, IN
- NPI 1427516103
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1053391037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 HIGH ST",
"address_2": "STE 2",
"city": "DECATUR",
"state": "IN",
"postal_code": "467332326",
"telephone_number": "260-724-8700",
"fax_number": "260-728-3821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 MERCER AVE",
"city": "DECATUR",
"state": "IN",
"postal_code": "467332303",
"telephone_number": "260-724-2145",
"fax_number": "260-724-2145"
}
],
"practiceLocations": [
{
"address_1": "955 High St",
"address_2": "Ste 2",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IN",
"postal_code": "467332326",
"country_code": "US",
"telephone_number": "260-724-8700",
"fax_number": "260-728-3821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATES",
"first_name": "ALICIA",
"middle_name": "KAY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71001926A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200530800",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000373877",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.