NPIMap

Individual provider Active NPI

Heather N Hamilton, NP

  • Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1265705404
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71003867A Issued in IN
Practice address
4000 W Woodway Dr
Muncie, IN 47304-4264
Phone
(765) 289-5006
Fax
(765) 741-4658
NPI assigned
Feb 20, 2012
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71003867A IN Primary

Addresses

Primary practice location

4000 W Woodway Dr
Muncie, IN 47304-4264

Mailing address

4000 W Woodway Dr
Muncie, IN 47304-4264
Phone (765) 289-5006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120224000139 IN Practitioner - Nurse Practitioner 4880852631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Open Door Health Services IncGroup PAC ID 5890696603, 40 clinicians
Woodway Internal Medicine PCGroup PAC ID 9830312263, 5 clinicians

Practice addresses (Care Compare)

1651 E 29TH St
Open Door Urgent Care
Muncie, IN 47302-5886
Phone (765) 747-1164

4000 W Woodway Dr
Muncie, IN 47304-4264
Phone (765) 289-5006

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003867AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Health Services, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Woodway Internal Medicine PC CurrentSince May 4, 2014 Accepting new patients
Open Door Health Services, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients

Locations

2101 Jackson St
Ste 206
Anderson, IN 46016
Phone (765) 646-8523

1651 E 29th St
Muncie, IN 47302
Phone (765) 747-1164

2600 W White River Blvd
Muncie, IN 47303
Phone (765) 284-6822

333 S Madison St
Muncie, IN 47305
Phone (765) 287-3087

4000 W Woodway Dr
Muncie, IN 47304
Phone (765) 213-4950

359 Randolph St
Parker City, IN 47368
Phone (765) 468-8280

Interoperability endpoints

  • Direct secure messaging: heather.hamilton.1@27103.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27103/brand/1/csg/1/fhir/r4

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 8

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": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1265705404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W WOODWAY DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044264",
            "telephone_number": "765-289-5006",
            "fax_number": "765-741-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W WOODWAY DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044264",
            "telephone_number": "765-289-5006",
            "fax_number": "765-741-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "HEATHER",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003867A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.