Carrie F Bonsack, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

09000152A Issued in IN

Practice address

1522 W Morris St
Indianapolis, IN 46221-1629

Phone

(317) 488-2020

Fax

(317) 488-2031

NPI assigned

May 24, 2006

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Carrie F Drummond Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Open Door Health Services IncGroup PAC ID 5890696603, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carrie.bonsack.1@10844.direct.athenahealth.com
• Direct secure messaging: cbonsack@direct.iuhealth.org

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Healthnet, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1780634964

  Corporate Officer

  CMS ownership

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.

• Open Door Health Services, Inc.

  dba Southway Urgent Center

  • Federally Qualified Health Center (FQHC)
  • Muncie, IN
  • NPI 1770510240
  Medicare reassignment Care Compare group NPD
• Indiana University Health Ball Memorial Physicians, Inc.

  • Family Medicine Physician
  • Muncie, IN
  • NPI 1235455544
  Medicare reassignment NPD
• Iu Health Medical Group, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1326893777
  Medicare reassignment NPD
• Open Door Health Services, Inc.

  dba Open Door Health Services Blackford County

  • Federally Qualified Health Center (FQHC)
  • Hartford City, IN
  • NPI 1245094028
  NPD
• Open Door Health Services, Inc.

  dba Open Door Health Services YMCA

  • Federally Qualified Health Center (FQHC)
  • Muncie, IN
  • NPI 1376349316
  NPD
• Open Door Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Anderson, IN
  • NPI 1508811910
  NPD
• Healthnet, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1780634964
  NPD (past)
• Open Door Health Services, Inc.

  dba Open Door Family Planning

  • Federally Qualified Health Center (FQHC)
  • Muncie, IN
  • NPI 1912080060
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1164477188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034744",
            "telephone_number": "317-788-9769",
            "fax_number": "317-781-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 W MORRIS ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462211629",
            "telephone_number": "317-488-2020",
            "fax_number": "317-488-2031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 W University Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473033428",
            "country_code": "US",
            "telephone_number": "765-286-3900",
            "fax_number": "765-286-3915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONSACK",
        "first_name": "CARRIE",
        "middle_name": "F",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000152A",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "72000106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200809090",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CBONSACK@DIRECT.IUHEALTH.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 W University Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473033428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "DRUMMOND",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard David Bonney Jr., LCAC
• Daniel Alexander Bonnin, MD
• Jose Bonnin, M.D.
• Courtney Sue Bono, NP
• Kiven Bonongwe, FNP
• Kylie Rochelle Bontrager, D.D.S., M.S.D.
• Thomas Bontrager, MSW
• Jacob Boo, LMHC
• Jenelle N Boo, PH.D.
• Diane Irene Boody

• Advanced Practice Midwife in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Advanced Practice Midwife in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.