Active NPI
Mary Combs, ANP,BC
- Registered Nurse
- Greenwood, IN
National Provider Identifier
1053621672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28083388A
- Practice address
- 1200 Bomar LN
Greenwood, IN 46142-5157 - Phone
- (317) 885-9030
- NPI assigned
- Oct 15, 2010
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28083388A | IN | Primary |
Addresses
Primary practice location
1200 Bomar LN
Greenwood, IN 46142-5157
Mailing address
1200 Bomar LN
Greenwood, IN 46142-5157
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130906000124 | IN | Order and Referring Only - Nurse Practitioner | 0941443246 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28083388A | IN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1053621672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 BOMAR LN",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461425157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BOMAR LN",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461425157",
"telephone_number": "317-885-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "MARY",
"credential": "ANP,BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28083388A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.