Individual provider Active NPI

Elisha Carol Trapp, NP

  • Family Nurse Practitioner
  • New Albany, IN
National Provider Identifier
1215504147
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011189A Issued in IN
Practice address
4101 Technology Ave
New Albany, IN 47150-8548
Phone
(812) 941-4500
Fax
(812) 941-4506
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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 71011189A IN Primary

Addresses

Primary practice location

4101 Technology Ave
New Albany, IN 47150-8548

Mailing address

4101 Technology Ave
New Albany, IN 47150-8548
Phone (812) 941-4500

Other identifiers 1

IdentifierTypeStateIssuer
71011189AOtherINAPRN LICENSE

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
I20230406001877 IN Practitioner - Nurse Practitioner 4082089990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Health Network of Indiana LLCGroup PAC ID 9830093533, 204 clinicians

Practice addresses (Care Compare)

4101 Technology Ave
New Albany, IN 47150-8548
Phone (812) 941-4500

Hospital & facility affiliations

  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011189AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC CurrentSince Apr 4, 2023 Accepting new patients
American Health Network of Indiana, LLC CurrentSince Apr 4, 2023 Accepting new patients
American Health Network of Indiana, LLC Past Accepting new patients

Locations

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

727 Mount Tabor Rd
Ste B
New Albany, IN 47150
Phone (812) 945-2717

4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500

Interoperability endpoints

  • Direct secure messaging: etrapp211694@direct.optum.com

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 and National Provider Directory roles.

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1215504147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TECHNOLOGY AVE",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471508548",
            "telephone_number": "812-941-4500",
            "fax_number": "812-941-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TECHNOLOGY AVE",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471508548",
            "telephone_number": "812-941-4500",
            "fax_number": "812-941-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAPP",
        "first_name": "ELISHA",
        "middle_name": "CAROL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011189A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "71011189A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.