Individual provider Active NPI

Brenda Kay Painter, FNP

  • Family Nurse Practitioner
  • West Baden Springs, IN
National Provider Identifier
1114013083
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001773A Issued in IN
Practice address
8163 W State Road 56 Ste a
West Baden Springs, IN 47469-7706
Phone
(812) 723-7125
Fax
(812) 936-2599
NPI assigned
Oct 5, 2006
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71001773A IN Primary
Women's Health Nurse Practitioner 363LW0102X 71001773A IN

Addresses

Primary practice location

8163 W State Road 56 Ste a
West Baden Springs, IN 47469-7706

Mailing address

8695 W Jack Carnes Way
French Lick, IN 47432-1302
Phone (812) 936-3900

Other identifiers 1

IdentifierTypeStateIssuer
300086483MedicaidIN

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
I20041119000504 IN Practitioner - Nurse Practitioner 2567427453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 W Longest St
Paoli, IN 47454-8821
Phone (812) 723-3944

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001773AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana Community Health Care, Inc CurrentSince Jan 1, 2024 Accepting new patients
Southern Indiana Community Health Care, Inc CurrentSince Jan 1, 2024 Accepting new patients
Southern Indiana Community Health Care, Inc Current Accepting new patients
Major Hospital Past Accepting new patients
Southern Indiana Community Health Care, Inc Past Accepting new patients
Hoosier Family Practice P.C. Past Accepting new patients

Locations

420 W Longest St
Paoli, IN 47454
Phone (812) 723-3944

Interoperability endpoints

  • Direct secure messaging: brendapainter@sichc.allscriptsdirect.net

Organizations & group practices 6

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1114013083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 W JACK CARNES WAY",
            "city": "FRENCH LICK",
            "state": "IN",
            "postal_code": "474321302",
            "telephone_number": "812-936-3900",
            "fax_number": "812-936-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8163 W STATE ROAD 56 STE A",
            "city": "WEST BADEN SPRINGS",
            "state": "IN",
            "postal_code": "474697706",
            "telephone_number": "812-723-7125",
            "fax_number": "812-936-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001773A",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71001773A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300086483",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Baden Springs, IN

Sources for this page

Verify at the official NPI Registry.