Individual provider Active NPI

Nisha Panday, ACNP

  • Acute Care Nurse Practitioner
  • Greenville, OH
National Provider Identifier
1124484399
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.18335 Issued in OH
Practice address
1101 Jackson St Ste B
Greenville, OH 45331-1396
Phone
(937) 548-1141
NPI assigned
Jan 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 71009285A IN
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.18335 OH Primary

Addresses

Primary practice location

1101 Jackson St Ste B
Greenville, OH 45331-1396

Mailing address

1100 Reid Parkway
Medical Staff Servcies
Richmond, IN 47374-1157
Phone (765) 935-8802

Other identifiers 2

IdentifierTypeStateIssuer
0160160MedicaidOH
300031082MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address npanday345731@ReidHealth.direct-ci.com Reid Physician Associates, Inc.
Direct Messaging Address npanday345731@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161011001106 OH Practitioner - Nurse Practitioner 1759679525 Reassigns benefits to 1 organization
I20191001001717 IN Practitioner - Nurse Practitioner 1759679525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1100 Reid Pkwy
Suite 210
Richmond, IN 47374-1157
Phone (765) 962-1337

1101 Jackson St
Suite B
Greenville, OH 45331-1396
Phone (937) 316-6350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.18335OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc. CurrentSince Sep 23, 2019 Accepting new patients
Reid Physician Associates, Inc CurrentSince Sep 23, 2019 Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1100 Reid Pkwy
#210
Richmond, IN 47374
Phone (765) 962-1337

550 Hallmark Dr
Eaton, OH 45320
Phone (937) 456-1195

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

1101 Jackson St
Ste B
Greenville, OH 45331
Phone (765) 983-3298

Interoperability endpoints

  • Direct secure messaging: npanday345731@reidhealth.direct-ci.com

Organizations & group practices 2

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 2

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": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1124484399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PARKWAY",
            "address_2": "MEDICAL STAFF SERVCIES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-8802",
            "fax_number": "765-983-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 JACKSON ST STE B",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311396",
            "telephone_number": "937-548-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDAY",
        "first_name": "NISHA",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71009285A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.18335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160160",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300031082",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npanday345731@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1100 Reid Pkwy",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npanday345731@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1101 Jackson St Ste B",
            "city": "Greenville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453311396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.