Individual provider Active NPI

Christine Nicole Poe, ARNP

  • Family Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1053584276
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001075A Issued in IN
Practice address
1200 W Carmel Dr Ste 103
Carmel, IN 46032-8707
Phone
(317) 709-0706
Fax
(888) 505-6818
NPI assigned
Apr 9, 2008
Last updated
Dec 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 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 71001075A IN Primary

Addresses

Primary practice location

1200 W Carmel Dr Ste 103
Carmel, IN 46032-8707

Mailing address

1200 W Carmel Dr Ste 103
Carmel, IN 46032-8707
Phone (317) 709-0706

Other identifiers 1

IdentifierTypeStateIssuer
200939430MedicaidIN

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
I20111020000142 IN Practitioner - Nurse Practitioner 3577735398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Bowdoin Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookside Medical Home Visits LLCGroup PAC ID 8325389984, 8 clinicians

Practice addresses (Care Compare)

265 W County Rd 850
Clay City, IN 47841-8210
Phone (812) 229-8707

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001075AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Indiana, LLC CurrentSince Apr 12, 2017 Accepting new patients
Major Hospital Past Accepting new patients
Indiana Heart Associates PC Past Accepting new patients

Locations

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

Interoperability endpoints

  • Direct secure messaging: christine.poe.1@28056.direct.athenahealth.com
  • Direct secure messaging: craypoe115641@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1053584276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W CARMEL DR STE 103",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328707",
            "telephone_number": "317-709-0706",
            "fax_number": "888-505-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W CARMEL DR STE 103",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328707",
            "telephone_number": "317-709-0706",
            "fax_number": "888-505-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "CHRISTINE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001075A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200939430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.