Wanda Gay Gifford, APRN-BC
Individual provider Active NPI Family Nurse Practitioner · Rensselaer, IN
NPI 1194768010 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1194768010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71000809A (IN)
- Practice address
- 118 W Drexel Pkwy
Rensselaer, IN 47978-7344 - Phone
- (219) 866-4300
- Fax
- (219) 866-7591
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Physician Network
Practice addresses (Care Compare)
118 W Drexel Pkwy
Rensselaer, IN 47978-7344
Phone (219) 866-4300
Hospital & facility affiliations
- Elara Caring
- Franciscan Health Rensselaer, Inc
- Franciscan Health Lafayette
- Indiana University Health White Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111006000722 | IN | Practitioner - Nurse Practitioner | 6103098504 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Health Rensselaer, Inc. | Family | Current |
Accepting new patients |
| Franciscan Health Rensselaer, Inc. | Current | Accepting new patients | |
| Franciscan Physician Network | Current |
Accepting new patients | |
| Franciscan Physician Network | Current |
Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
118 W Drexel Pkwy
Rensselaer, IN 47978
Phone (219) 866-4300
1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- wgifford210741@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71000809A | IN | Yes |
Addresses
Primary practice location
118 W Drexel Pkwy
Rensselaer, IN 47978-7344
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200305970 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wgifford210741@Direct.FranciscanAlliance.org | Direct |
Other providers in Rensselaer, IN
- Franciscan Health Rensselaer, Inc.
- Franciscan Health Rensselaer, Inc.
- Franciscan Health Rensselaer, Inc.
- Franciscan Health Rensselaer, Inc.
- Franciscan Health Rensselaer, Inc.
- Lori Eileen Groves
- Jaswanth R. Guntakandla
- Jared Eugene Hall
- Laura Anne Hall
- Catherine Marie Hanna
All providers in Rensselaer, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.