Individual provider Active NPI

Jaci Pabst

  • Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1346793262
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71006428A Issued in IN
Practice address
221 S 6TH St
Terre Haute, IN 47807-4214
Phone
(812) 232-0564
Fax
(812) 242-3861
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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 71006428A IN Primary

Addresses

Primary practice location

221 S 6TH St
Terre Haute, IN 47807-4214

Mailing address

221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 232-0564

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
I20160830002385 IN Practitioner - Nurse Practitioner 0244526234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Associated Physicians Clinic, LLCGroup PAC ID 3375687437, 230 clinicians

Practice addresses (Care Compare)

221 S 6 TH St
Apands Clinic Downtown
Terre Haute, IN 47807-4214
Phone (812) 232-0564

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71006428AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital, Inc. Nurse Practitioner Current Accepting new patients
Union Hospital, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Aug 1, 2016 Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Aug 1, 2016 Accepting new patients
Union Hospital Inc CurrentSince Aug 1, 2016 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Hospital Inc. Nurse Practitioner Past Accepting new patients

Locations

1 St Mary of Woods Coll
Saint Mary of the Woods, IN 47876

1530 N 7th St
Ste 106
Terre Haute, IN 47807
Phone (812) 238-4467

2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

5500 Wabash Ave
Terre Haute, IN 47803
Phone (812) 877-8367

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

567 N 5th St
Terre Haute, IN 47809
Phone (812) 237-3632

Interoperability endpoints

  • Direct secure messaging: jpabst@unionhealth.cernerdirect.com

Organizations & group practices 7

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1346793262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-232-0564",
            "fax_number": "812-242-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-232-0564",
            "fax_number": "812-242-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABST",
        "first_name": "JACI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006428A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.