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Individual provider Active NPI

Jill Marie Prickel

  • Primary Care Nurse Practitioner
  • Greensburg, IN
National Provider Identifier
1316451701
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
71007673A Issued in IN
Practice address
955 N Michigan Ave
Greensburg, IN 47240-1487
Phone
(812) 662-6450
NPI assigned
Nov 22, 2017
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 71007673A IN Primary

Addresses

Primary practice location

955 N Michigan Ave
Greensburg, IN 47240-1487

Mailing address

955 N Michigan Ave
Greensburg, IN 47240-1487
Phone (812) 663-6450

Other practice location 1

4068 Stockpile Rd
Batesville, IN 47006-7417
Phone (812) 212-2699

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
I20171207000913 IN Practitioner - Nurse Practitioner 8628335213 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur County Memorial HospitalGroup PAC ID 7315837671, 128 clinicians

Practice addresses (Care Compare)

955 N Michigan Ave
4 DCMH Immediate Care
Greensburg, IN 47240-1487
Phone (812) 662-6450

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur County Memorial Hospital CurrentSince Dec 1, 2017 Accepting new patients
FC Indiana, LLC CurrentSince Jan 21, 2020 Accepting new patients
FC Indiana, LLC CurrentSince Jan 21, 2020 Accepting new patients
Decatur County Memorial Hospital Current Accepting new patients
Decatur County Memorial Hospital CurrentSince Dec 1, 2017 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Decatur County Memorial Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

955 N Michigan Ave
Ste 4
Greensburg, IN 47240
Phone (812) 662-6450

955 N Michigan Ave
Greensburg, IN 47240
Phone (812) 222-3627

315 S Memorial Dr
New Castle, IN 47362
Phone (765) 518-8100

Interoperability endpoints

  • Direct secure messaging: jill.prickel@direct.dcmh.net

Organizations & group practices 8

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 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": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1316451701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 N MICHIGAN AVE",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401487",
            "telephone_number": "812-663-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N MICHIGAN AVE",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401487",
            "telephone_number": "812-662-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4068 Stockpile Rd",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "IN",
            "postal_code": "470067417",
            "country_code": "US",
            "telephone_number": "812-212-2699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICKEL",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71007673A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, IN

Sources for this page

Verify at the official NPI Registry.