Active NPI
Chimi Nusbaum, NP
- Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71005652A
- Practice address
- 2001 W 86TH St
Indianapolis, IN 46260-1902 - Phone
- (317) 415-7921
- Fax
- (317) 415-7922
- NPI assigned
- Aug 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71005652A | IN | Primary |
Addresses
Primary practice location
2001 W 86TH St
Indianapolis, IN 46260-1902
Mailing address
707 Cedar St Ste 405
South Bend, IN 46617-2059
Phone (574) 335-8707
Other practice location 1
11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 672-6443
Other practice location 2
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-7001
Other practice location 3
1500 N Ritter Ave
Indianapolis, IN 46219-3027
Phone (317) 355-1411
Other practice location 4
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02078333 | Other | IN | MEDICARE RAIDROAD |
| 201316100 | Medicaid | IN | |
| 000000959681 | Other | IN | BCBS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cnusbaum313545@eCommunityDirect.com | Community Physicians of Indiana Inc | |
| Direct Messaging Address | chimi.nusbaum@lutheranhealthnetwork.cernerdirect.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005652A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Nurse Practitioner | Current | Accepting new patients |
| Parkview Health System, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| St Vincent Pediatric Subspecialties | Nurse Practitioner | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Neonatal | Current | Accepting new patients |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| St Vincent Pediatric Subspecialties | Nurse Practitioner | Current | Accepting new patients |
Locations
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
11115 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-5400
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
Interoperability endpoints
- cnusbaum1147680@direct.trinity-health.org
- cnusbaum313545@ecommunitydirect.com
Organizations & group practices 9
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.
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
Nurse Practitioner
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
Nurse Practitioner
-
dba Saint Joseph Regional Medical Center-South Bend Campus Inc Mobile Med
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1013967736
Nurse Practitioner
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1710275664
-
dba Parkview Physicians Group
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1952411233
Nurse Practitioner
-
- Critical Care Medicine (Internal Medicine) Physician
- Mishawaka, IN
- NPI 1699132365
Neonatal
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- Pediatric Critical Care Medicine Physician
- Evansville, IN
- NPI 1851950224
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1265809321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 CEDAR ST STE 405",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172059",
"telephone_number": "574-335-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601902",
"telephone_number": "317-415-7921",
"fax_number": "317-415-7922"
}
],
"practiceLocations": [
{
"address_1": "11115 Parkview Plaza Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451701",
"country_code": "US",
"telephone_number": "260-672-6443",
"fax_number": "260-672-6559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7950 W Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468044140",
"country_code": "US",
"telephone_number": "260-435-7001",
"fax_number": "260-435-7632",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 N Ritter Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462193027",
"country_code": "US",
"telephone_number": "317-355-1411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5215 Holy Cross Pkwy",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "46545",
"country_code": "US",
"telephone_number": "574-335-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUSBAUM",
"first_name": "CHIMI",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-25",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71005652A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIDROAD",
"identifier": "P02078333",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201316100",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000959681",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cnusbaum313545@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "7240 Shadeland Station",
"address_2": "Suite 300",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462563944",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chimi.nusbaum@lutheranhealthnetwork.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "7950 W Jefferson Blvd",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468044140",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
- Nurturing Hearts Homecare LLC
- Nurturing Hearts Homecare Services
- Nurturing Helping Hands Homecare LLC
- Nurturing Home Care of Indiana Corp. (Nurturing Home Care Agency)
- Nurturing Nook Homecare Services LLC
- James Michael Nussbaum, NP
- Kayla Headley Nussbaum, MD
- Nustar Wound Care Services LLC
- Nutech Institute LLC
- Vijay Krishna Nuthakki, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.