Active NPI
Claudia Jane Fenoglio, FNP
- Family Nurse Practitioner
- Muncie, IN
National Provider Identifier
1093915613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002440A
- Practice address
- 3631 N Morrison Rd
Muncie, IN 47304-5547 - Phone
- (765) 281-3443
- NPI assigned
- Jul 22, 2007
- Last updated
- Mar 21, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71002440A | IN | Primary |
Addresses
Primary practice location
3631 N Morrison Rd
Muncie, IN 47304-5547
Mailing address
3631 N Morrison Rd
Muncie, IN 47304-5547
Phone (765) 281-3443
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000658236 | Other | IN | ANTHEM BC/BS |
| 000000670612 | Other | IN | ANTHEM BC/BS |
| 200902470A | Medicaid | IN | |
| P00831335 | Other | IN | RAILROAD MEDICARE |
| P00831337 | Other | IN | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | claudia.fenogliofnp.p39@direct.ahni.nextgenshare.com | Direct |
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 |
|---|---|---|---|
| Open Door Health Services, Inc. | Past | Accepting new patients | |
| Emgi-Ball, LLC | Past | Accepting new patients | |
| Icem-Ball, LLC | Past | Accepting new patients |
Interoperability endpoints
- claudia.fenogliofnp.p39@direct.ahni.nextgenshare.com
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Muncie, IN
- NPI 1306072434
-
- Emergency Medicine Physician
- Muncie, IN
- NPI 1316273691
-
dba Open Door Health Services Blackford County
- Federally Qualified Health Center (FQHC)
- Hartford City, IN
- NPI 1245094028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616284800000",
"number": "1093915613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3631 N MORRISON RD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473045547",
"telephone_number": "765-281-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3631 N MORRISON RD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473045547",
"telephone_number": "765-281-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENOGLIO",
"first_name": "CLAUDIA",
"middle_name": "JANE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-22",
"last_updated": "2021-03-21",
"certification_date": "2021-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71002440A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000658236",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000670612",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200902470A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00831335",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00831337",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "claudia.fenogliofnp.p39@direct.ahni.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "3631 N Morrison Rd",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473045547",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.