Active NPI
Nicole L O'Rourke, NP
- Family Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002948A
- Practice address
- 1919 E 52ND St Ste 200
Indianapolis, IN 46205-1381 - Phone
- (317) 429-0120
- NPI assigned
- Jun 25, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 71002948A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71002948A | IN | Primary |
Addresses
Primary practice location
1919 E 52ND St Ste 200
Indianapolis, IN 46205-1381
Mailing address
9365 Counselors Row Ste 210
Indianapolis, IN 46240-6418
Phone (317) 429-0120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201108760 | Medicaid | IN |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
948 Bright Beam CT
Westfield, IN 46074-7732
Phone (317) 437-0599
Hospital & facility affiliations
- Clover Home Health Care
- Community Health at Home LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002948A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cinqcare at Home PC | Current | Accepting new patients | |
| NP Enterprises LLC | Family | Current | Accepting new patients |
| Care Medical Practice PLLC | Family | Current | Accepting new patients |
| Respiratory & Critical Care Consultants P C | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663
907 N East St
Indianapolis, IN 46202
Phone (317) 644-3461
8900 Keystone Xing
Ste 540
Indianapolis, IN 46240
Phone (317) 429-0170
9365 Counselors Row
Ste 210
Indianapolis, IN 46240
Phone (713) 269-4513
564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026
Interoperability endpoints
- nicole.orourke.1@31359.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1235736067
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1548596372
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Pulmonary Disease Physician
- Indianapolis, IN
- NPI 1801845086
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Carmel, IN
- NPI 1275011355
-
- Home Health Agency
- Indianapolis, IN
- NPI 1730646589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1336377670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9365 COUNSELORS ROW STE 210",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462406418",
"telephone_number": "317-429-0120",
"fax_number": "317-800-7730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E 52ND ST STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462051381",
"telephone_number": "317-429-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'ROURKE",
"first_name": "NICOLE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-25",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "IN",
"license": "71002948A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71002948A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201108760",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.