Individual provider Active NPI

Haleigh Jordan Nidlinger, APRN

  • Family Nurse Practitioner
  • Decatur, IN
National Provider Identifier
1356011266
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011626A Issued in IN
Practice address
1100 Mercer Ave
Decatur, IN 46733-2303
Phone
(260) 724-2145
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 71011626A IN Primary

Addresses

Primary practice location

1100 Mercer Ave
Decatur, IN 46733-2303

Mailing address

PO Box 151
Decatur, IN 46733-0151
Phone (260) 724-2145

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
I20220510002610 IN Practitioner - Nurse Practitioner 6709263882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adams County Memorial HospitalGroup PAC ID 0941198253, 85 clinicians

Practice addresses (Care Compare)

1100 Mercer Ave
Decatur, IN 46733-2303
Phone (260) 724-2145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.61 of 100Reported as group
Quality
76.47
Promoting interoperability
100
Improvement activities
40
Cost
68.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County Memorial Hospital CurrentSince Jul 22, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 9, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 9, 2022 Accepting new patients
Adams County Memorial Hospital CurrentSince Jul 22, 2023 Accepting new patients

Locations

1100 Mercer Ave
Decatur, IN 46733

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

211 US Highway 66 E
Tell City, IN 47586
Phone (812) 722-4380

Interoperability endpoints

  • Direct secure messaging: hnidlinger565849@direct.parkviewexchange.com
  • Direct secure messaging: haleigh.nidlinger@4305.securemail.prognocis.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.

Hospital & facility affiliations 1

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1356011266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467330151",
            "telephone_number": "260-724-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MERCER AVE",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467332303",
            "telephone_number": "260-724-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDLINGER",
        "first_name": "HALEIGH",
        "middle_name": "JORDAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011626A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IN

Sources for this page

Verify at the official NPI Registry.