Individual provider Active NPI

Alexandria Joanne Roemke, NP

  • Family Nurse Practitioner
  • Lebanon, IN
National Provider Identifier
1174031843
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007736A Issued in IN
Practice address
400 N Mount Zion Rd
Lebanon, IN 46052-9497
Phone
(765) 335-0123
Fax
(765) 335-0127
NPI assigned
Jan 16, 2018
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71007736A IN Primary

Addresses

Primary practice location

400 N Mount Zion Rd
Lebanon, IN 46052-9497

Mailing address

400 N Mount Zion Rd
Lebanon, IN 46052-9497
Phone (765) 335-0123

Other practice location 1

8244 E US Highway 36 Ste 1100
Avon, IN 46123-9627
Phone (317) 272-7500

Other practice location 2

1542 S Bloomington St
Greencastle, IN 46135-2212
Phone (765) 301-7449

Other names 1

  • Alexandria Joanne Sanford Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexandriaroemke@pch.allscriptsdirect.net

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
I20181019002614 IN Practitioner - Nurse Practitioner 2567715642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Putnam County HospitalGroup PAC ID 1951396605, 46 clinicians

Practice addresses (Care Compare)

1542 S Bloomington St
Greencastle, IN 46135-2212

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71007736AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam County Hospital CurrentSince Feb 1, 2019 Accepting new patients
Putnam County Hospital Current Accepting new patients
Putnam County Hospital CurrentSince Feb 1, 2019 Accepting new patients
Putnam County Hospital Past Accepting new patients

Locations

1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556

1542 S Bloomington St
#1100
Greencastle, IN 46135
Phone (765) 658-2700

1542 S Bloomington St
Ste 1100
Greencastle, IN 46135
Phone (765) 658-2700

Interoperability endpoints

  • Direct secure messaging: aroemke583046@direct.franciscanalliance.org

Organizations & group practices 4

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": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1174031843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MOUNT ZION RD",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460529497",
            "telephone_number": "765-335-0123",
            "fax_number": "765-335-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MOUNT ZION RD",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460529497",
            "telephone_number": "765-335-0123",
            "fax_number": "765-335-0127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8244 E US Highway 36 Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461239627",
            "country_code": "US",
            "telephone_number": "317-272-7500",
            "fax_number": "317-272-7515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1542 S Bloomington St",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "IN",
            "postal_code": "461352212",
            "country_code": "US",
            "telephone_number": "765-301-7449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEMKE",
        "first_name": "ALEXANDRIA",
        "middle_name": "JOANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007736A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexandriaroemke@pch.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "address_1": "1542 S Bloomington St",
            "city": "Greencastle",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461352212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "SANFORD",
            "middle_name": "JOANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, IN

Sources for this page

Verify at the official NPI Registry.