Individual provider Active NPI

Shila Thapa, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1356062467
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71013034A Issued in IN
Practice address
8920 Southpointe Dr Ste E1
Indianapolis, IN 46227-7505
Phone
(812) 247-8010
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71013034A IN Primary

Addresses

Primary practice location

8920 Southpointe Dr Ste E1
Indianapolis, IN 46227-7505

Mailing address

3861 S Cramer Cir
Bloomington, IN 47403-8997
Phone (973) 489-0488

Other practice location 1

3600 N Prow Rd
Bloomington, IN 47404-1616
Phone (812) 331-8000

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
I20221121002770 IN Practitioner - Nurse Practitioner 8325416415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomington Meadows GPGroup PAC ID 6002707494, 10 clinicians

Practice addresses (Care Compare)

3600 N Prow Rd
Bloomington, IN 47404-1616
Phone (812) 331-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71013034AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Meadows GP CurrentSince Oct 1, 2022 Accepting new patients

Locations

3600 N Prow Rd
Bloomington, IN 47404
Phone (812) 331-8000

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1356062467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 S CRAMER CIR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038997",
            "telephone_number": "973-489-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 SOUTHPOINTE DR STE E1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277505",
            "telephone_number": "812-247-8010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 N Prow Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474041616",
            "country_code": "US",
            "telephone_number": "812-331-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAPA",
        "first_name": "SHILA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71013034A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.