Individual provider Active NPI

David Bryan Nolte, AGNP-C

  • Adult Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1245860436
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71010292A Issued in IN
Practice address
8051 S Emerson Ave Ste 350
Indianapolis, IN 46237-8634
Phone
(317) 859-1020
Fax
(317) 859-4040
NPI assigned
Jan 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28205128A IN
Gerontology Nurse Practitioner 363LG0600X 71010292A IN
Adult Health Nurse Practitioner 363LA2200X 71010292A IN Primary

Addresses

Primary practice location

8051 S Emerson Ave Ste 350
Indianapolis, IN 46237-8634

Mailing address

6983 Hillsdale CT
Indianapolis, IN 46250-2054
Phone (317) 308-2800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referrals@jwmn.gwaydirect.com Direct

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
I20200828001607 IN Practitioner - Nurse Practitioner 0749607232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Josephson-Wallack-Munshower Neurology PCGroup PAC ID 6709868870, 59 clinicians

Practice addresses (Care Compare)

8051 S Emerson Ave
Suite 350
Indianapolis, IN 46237-8634
Phone (317) 859-1020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.33 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.11

Merit-based Incentive Payment System (MIPS)

Final score
69.89 of 100Reported as group
Promoting interoperability
56
Improvement activities
40
Cost
76.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28205128AINMDRegistered Nurse
71010292AINMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aims-Med, LLC CurrentSince Jan 1, 2023 Accepting new patients
Aims, LLC CurrentSince Dec 1, 2022 Accepting new patients
Josephson-Wallack-Munshower Neurology PC CurrentSince Sep 19, 2024 Accepting new patients
Josephson-Wallack-Munshower Neurology PC Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

9330 Broadway
Crown Point, IN 46307
Phone (219) 648-2400

1167 Wilson Dr
Greenwood, IN 46143
Phone (317) 851-3101

6983 Hillsdale Ct
Indianapolis, IN 46250

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

8051 S Emerson Ave
Ste 350
Indianapolis, IN 46237
Phone (317) 859-1020

1400 N Ritter Ave
Ste 220
Indianapolis, IN 46219
Phone (317) 355-1555

111 E 3rd St
Unit 764
Mishawaka, IN 46546

1203 Hadley Rd
Ste 202
Mooresville, IN 46158
Phone (317) 859-1020

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1753
  • Direct secure messaging: bnolte@jwmn.gwaydirect.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1245860436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6983 HILLSDALE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502054",
            "telephone_number": "317-308-2800",
            "fax_number": "317-576-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE STE 350",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378634",
            "telephone_number": "317-859-1020",
            "fax_number": "317-859-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLTE",
        "first_name": "DAVID",
        "middle_name": "BRYAN",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-16",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28205128A",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71010292A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71010292A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals@jwmn.gwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8051 S Emerson Ave Ste 350",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462378634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.