Active NPI
Laura E Clarke, NP
- Nurse Practitioner
- New Castle, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71003386A
- Practice address
- 930 N 14TH St
New Castle, IN 47362-4311 - Phone
- (765) 521-2450
- NPI assigned
- Nov 16, 2010
- 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 | 71003386A | IN | Primary |
Addresses
Primary practice location
930 N 14TH St
New Castle, IN 47362-4311
Mailing address
240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201002830 | Medicaid | IN | |
| 945350168 | Other | MEDICARE |
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
930 N 14TH St
New Castle, IN 47362-4311
Phone (765) 521-2450
Hospital & facility affiliations
- Henry County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003386A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Health Services Corp. | Current | Accepting new patients | |
| Meridian Health Services Corp | Current | Accepting new patients | |
| Meridian Health Services Corp | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
1150 S Main St
Dunkirk, IN 47336
Phone (765) 768-3188
2506 Willowbrook Pkwy
Ste 102
Indianapolis, IN 46205
Phone (317) 650-4752
240 N Tillotson Ave
Muncie, IN 47304
930 N 14th St
New Castle, IN 47362
Phone (317) 741-0300
406 W Votaw St
Portland, IN 47371
Phone (260) 726-3065
500 W Votaw St
Ste A
Portland, IN 47371
Phone (260) 726-2313
Interoperability endpoints
- laura.clark.p1@direct.meridianhs.nextgenshare.com
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Muncie, IN
- NPI 1992755490
-
- Federally Qualified Health Center (FQHC)
- Montpelier, IN
- NPI 1417838574
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Federally Qualified Health Center (FQHC)
- Dunkirk, IN
- NPI 1730556333
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Castle, IN
- NPI 1356428429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1346541786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 N TILLOTSON AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473043988",
"telephone_number": "765-288-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 N 14TH ST",
"city": "NEW CASTLE",
"state": "IN",
"postal_code": "473624311",
"telephone_number": "765-521-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "LAURA",
"middle_name": "E",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-16",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71003386A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201002830",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "945350168",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Castle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.