Individual provider Active NPI

Barbara Pescitelli, NP

  • Adult Health Nurse Practitioner
  • Greenfield, IN
National Provider Identifier
1154398154
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71001109A Issued in IN
Practice address
1 Memorial SQ Ste 305
Greenfield, IN 46140-3308
Phone
(317) 462-6662
Fax
(317) 468-6275
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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 71001109A IN Primary

Addresses

Primary practice location

1 Memorial SQ Ste 305
Greenfield, IN 46140-3308

Mailing address

PO Box 129
Greenfield, IN 46140-0129
Phone (317) 468-6270

Other identifiers 3

IdentifierTypeStateIssuer
000000328308OtherINANTHEM PIN NUMBER
200322310MedicaidIN
200311740H,DOtherINMEDICAID GROUP#/LOCATION

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
I20100819000746 IN Practitioner - Nurse Practitioner 4981738481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians

Practice addresses (Care Compare)

300 E Boyd Ave
Suite 120
Greenfield, IN 46140-2832
Phone (317) 462-3441

801 N State
Greenfield, IN 46140-1270

801 N State St
Greenfield, IN 46140-1270

801 N State St 3
Central Indiana Amg Specialty Hospital
Greenfield, IN 46140-1270
Phone (317) 477-6789

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001109AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Physician Network, LLC CurrentSince Sep 2, 2003 Accepting new patients
Hancock Regional Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

1 Memorial Sq
Ste 305
Greenfield, IN 46140
Phone (317) 462-6662

1 Memorial Sq
Ste 50
Greenfield, IN 46140
Phone (317) 468-6257

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.

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1154398154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461400129",
            "telephone_number": "317-468-6270",
            "fax_number": "317-468-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL SQ STE 305",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403308",
            "telephone_number": "317-462-6662",
            "fax_number": "317-468-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCITELLI",
        "first_name": "BARBARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71001109A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000328308",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200322310",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP#/LOCATION",
            "identifier": "200311740H,D",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.