Individual provider Active NPI

Dan Sun, NP

  • Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1295324523
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71010750A Issued in IN
Practice address
2050 Chester Blvd
Richmond, IN 47374-1215
Phone
(765) 935-4440
NPI assigned
Jan 12, 2021
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 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 71010750A IN Primary

Addresses

Primary practice location

2050 Chester Blvd
Richmond, IN 47374-1215

Mailing address

3013 N Belmont Dr
Muncie, IN 47304-2101
Phone (765) 201-0209

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
I20210122002582 IN Practitioner - Nurse Practitioner 1254745722 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
Telehealth
Offers telehealth services
Group practices
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

1200 S Tillotson Opas
Suite 4
Muncie, IN 47304-4846
Phone (800) 683-8313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71010750AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleanslate Medical Group of Indiana LLC CurrentSince Aug 1, 2021 Accepting new patients
Recover Together, LLC Nurse Practitioner CurrentSince Sep 8, 2025 Accepting new patients
Recover Together, LLC Nurse Practitioner CurrentSince Sep 8, 2025 Accepting new patients

Locations

3070 104th St
#100
Urbandale, IA 50322

Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100

101 N Harrison St
Alexandria, IN 46001
Phone (765) 233-0903

4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402

1017 3rd St
Columbus, IN 47201
Phone (608) 977-7226

1200 S Tillotson Opas
Ste 4
Muncie, IN 47304
Phone (765) 286-5773

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1295324523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 N BELMONT DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042101",
            "telephone_number": "765-201-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741215",
            "telephone_number": "765-935-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "DAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010750A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.