Individual provider Active NPI

John Nathan Neukam

  • Certified Registered Nurse Anesthetist
  • Terre Haute, IN
National Provider Identifier
1104360403
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
117041 Issued in IN
Practice address
3901 S 7TH St
Terre Haute, IN 47802-5709
Phone
(812) 232-0021
NPI assigned
Dec 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 117041 IN Primary

Addresses

Primary practice location

3901 S 7TH St
Terre Haute, IN 47802-5709

Mailing address

76 Allendale
Terre Haute, IN 47802-4751
Phone (317) 902-9846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170608001139 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698043065 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia Associates, LLCGroup PAC ID 2062498140, 10 clinicians
Decatur County Memorial HospitalGroup PAC ID 7315837671, 128 clinicians

Practice addresses (Care Compare)

321 Mitchell Ave
Batesville, IN 47006-8909
Phone (812) 934-6624

720 N Lincoln St
Greensburg, IN 47240-1327
Phone (812) 663-4331

Hospital & facility affiliations

  • Margaret Mary Community Hospital Inc Hospital, Batesville, IN, CCN 151329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
117041INMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Hospital CurrentSince Jun 1, 2020 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jul 1, 2021 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Margaret Mary Community Hospital, Inc Current Accepting new patients
Premier Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 3, 2019 Accepting new patients
Rush Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Johnson Memorial Hospital CurrentSince Jun 1, 2020 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jul 1, 2021 Accepting new patients
Rush Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

24 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 376-3100

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

1900 Chester Blvd
Richmond, IN 47374
Phone (765) 962-2020

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

Interoperability endpoints

  • Direct secure messaging: john.neukam@mmhealth.cernerdirect.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1104360403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 ALLENDALE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024751",
            "telephone_number": "317-902-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025709",
            "telephone_number": "812-232-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUKAM",
        "first_name": "JOHN",
        "middle_name": "NATHAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-06",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "117041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.