Individual provider Active NPI

Nicole L O'Rourke, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1336377670
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002948A Issued in IN
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

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201108760MedicaidIN

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
I20091118000739 IN Practitioner - Nurse Practitioner 6204974835 Reassigns benefits to 4 organizations

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 Home health agency, Carmel, IN, CCN 157724
  • Community Health at Home LLC Home health agency, Indianapolis, IN, CCN 157046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71002948AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cinqcare at Home PC CurrentSince Aug 1, 2022 Accepting new patients
NP Enterprises LLC Family CurrentSince Mar 27, 2024 Accepting new patients
Care Medical Practice PLLC Family CurrentSince Mar 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.