Active NPI
Regina Macy, NP
- Gerontology Nurse Practitioner
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 71004268A
- Practice address
- 2651 E Discovery Pkwy
Bloomington, IN 47408-9059 - Phone
- (812) 353-3719
- Fax
- (812) 353-3713
- NPI assigned
- Jul 8, 2005
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 71004268A | IN | Primary |
Addresses
Primary practice location
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Mailing address
PO Box 1329
Bloomington, IN 47402-1329
Other practice location 1
413 W 1st St
Bloomington, IN 47403
Phone (812) 353-3719
Other practice location 2
514 W 2nd St
Bloomington, IN 47403-2316
Phone (812) 353-3719
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000904255 | Other | IN | ANTHEM PTAN |
| 201144540 | Medicaid | IN |
Other names 1
- Regina L Christiansen
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RMACY@direct.iuhealth.org | ||
| Direct Messaging Address | RMACY@direct.iuhealth.org | Direct |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
514 W 2ND St
Indiana University So in Phy Inc
Bloomington, IN 47403-2316
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health Bedford Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71004268A | IN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Advanced Healthcare Associates LLP | Gerontology | Past | Accepting new patients |
Locations
2900 16th St
Bedford, IN 47421
Phone (812) 275-1200
514 W 2nd St
Bloomington, IN 47403
Phone (812) 323-1535
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147
413 W 1st St
Bloomington, IN 47403
Phone (812) 332-3531
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Interoperability endpoints
- rmacy@direct.iuhealth.org
Organizations & group practices 3
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- Geriatric Medicine (Internal Medicine) Physician
- Elwood, IN
- NPI 1841225091
Gerontology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bedford, IN
- NPI 1548260284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1356349864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1329",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474021329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 E DISCOVERY PKWY",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474089059",
"telephone_number": "812-353-3719",
"fax_number": "812-353-3713"
}
],
"practiceLocations": [
{
"address_1": "413 W 1st St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "47403",
"country_code": "US",
"telephone_number": "812-353-3719",
"fax_number": "812-353-3713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "514 W 2nd St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474032316",
"country_code": "US",
"telephone_number": "812-353-3719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACY",
"first_name": "REGINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2024-10-25",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IN",
"license": "71004268A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "000000904255",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201144540",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RMACY@direct.iuhealth.org",
"affiliation": "N",
"address_1": "514 W 2nd St",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474032316",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RMACY@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2651 E Discovery Pkwy",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474089059",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "REGINA",
"last_name": "CHRISTIANSEN",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.