Individual provider Active NPI

Tamara M Poynter, NP

  • Adult Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1063600708
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71001175A Issued in IN
Practice address
8333 Naab Rd Ste 250
Indianapolis, IN 46260-1983
Phone
(317) 396-1300
Fax
(317) 870-2728
NPI assigned
Oct 9, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71001175A IN Primary

Addresses

Primary practice location

8333 Naab Rd Ste 250
Indianapolis, IN 46260-1983

Mailing address

8333 Naab Rd Ste 250
Indianapolis, IN 46260-1983
Phone (317) 396-1300

Other practice location 1

9669 E 146th St Ste 340
Noblesville, IN 46060-5006
Phone (317) 621-2500

Other identifiers 2

IdentifierTypeStateIssuer
200330760MedicaidIN
000000322793OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tpoynter31250@eCommunityDirect.com Community Physicians of Indiana Inc

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
I20031111000582 IN Practitioner - Nurse Practitioner 0042123432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

9669 E 146TH St
Suite 340
Noblesville, IN 46060-5006
Phone (317) 621-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001175AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Dec 3, 2018 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Dec 3, 2018 Accepting new patients
Community Health Network, Inc Past Accepting new patients
Irvington Radiologists PC Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

533 E County Line Rd
Ste 210
Greenwood, IN 46143
Phone 3177673296100

10122 E 10th St
Indianapolis, IN 46229
Phone (317) 355-2132

1400 N Ritter Ave
Ste 170
Indianapolis, IN 46219
Phone (317) 355-1200

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041

7250 Clearvista Dr
Ste 199
Indianapolis, IN 46256
Phone (317) 579-2131

8501 E 56th St
Ste 110
Indianapolis, IN 46216
Phone (317) 621-1207

9669 E 146th St
Ste 340
Noblesville, IN 46060
Phone (317) 621-2500

Interoperability endpoints

  • Direct secure messaging: tpoynter31250@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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1063600708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NAAB RD STE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601983",
            "telephone_number": "317-396-1300",
            "fax_number": "317-870-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 NAAB RD STE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601983",
            "telephone_number": "317-396-1300",
            "fax_number": "317-870-2728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9669 E 146th St Ste 340",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460605006",
            "country_code": "US",
            "telephone_number": "317-621-2500",
            "fax_number": "317-621-2503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POYNTER",
        "first_name": "TAMARA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71001175A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200330760",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000322793",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpoynter31250@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "9669 E 146th St Ste 340",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460605006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.