Individual provider Active NPI

Sydney Elizabeth Ehmke, NP

  • Family Nurse Practitioner
  • Anderson, IN
National Provider Identifier
1174517783
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000027A Issued in IN
Practice address
2009 Brown St
Anderson, IN 46016-4216
Phone
(317) 574-1254
NPI assigned
Sep 9, 2005
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 71000027A IN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71000027 IN

Addresses

Primary practice location

2009 Brown St
Anderson, IN 46016-4216

Mailing address

10445 Stonegate Dr
Fishers, IN 46040-9432
Phone (317) 410-9119

Other identifiers 2

IdentifierTypeStateIssuer
000000612074OtherINANTHEM
100373660MedicaidIN

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
I20051006000641 IN Practitioner - Nurse Practitioner 4183649379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

100 Cherry Tree PLZ
Suite B
Washington, IN 47501-4539
Phone (800) 683-8313

1001 N Western Ave
Suite C
Marion, IN 46952-2568
Phone (800) 683-8313

1017 3Rd St
Columbus, IN 47201-6870
Phone (608) 977-7226

1200 S Tillotson Opas
Suite 4
Muncie, IN 47304-4846
Phone (800) 683-8313

1725 M St
Bedford, IN 47421-4226
Phone (800) 683-8313

1919 State St
Suite 244
New Albany, IN 47150-6804
Phone (608) 977-7226

225 Morton Ave
Martinsville, IN 46151-2471
Phone (800) 683-8313

3282 Mallard Cove LN
Fort Wayne, IN 46804-2883
Phone (800) 683-8313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71000027AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Indiana Inc. Psychiatric/Mental Health CurrentSince Jun 29, 2015 Accepting new patients
Major Hospital Past Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family Past Accepting new patients

Locations

2009 Brown St
Anderson, IN 46016
Phone (765) 393-3891

9615 E 148th St
Ste 1
Noblesville, IN 46060
Phone (317) 587-0500

Interoperability endpoints

  • Direct secure messaging: sydney.ehmke.1@23284.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1174517783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10445 STONEGATE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460409432",
            "telephone_number": "317-410-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 BROWN ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164216",
            "telephone_number": "317-574-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHMKE",
        "first_name": "SYDNEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000027A",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71000027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000612074",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100373660",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.