Individual provider Active NPI

Ciara Lucinda Hammer, FNP, NP-C

  • Family Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1366815102
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006053A Issued in IN
Practice address
4727 Rosebud LN
Suite D
Newburgh, IN 47630-9367
Phone
(812) 490-5200
Fax
(812) 490-5203
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 28192121A IN
Family Nurse Practitioner 363LF0000X 71006053A IN Primary

Addresses

Primary practice location

4727 Rosebud LN
Suite D
Newburgh, IN 47630-9367

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Other identifiers 7

IdentifierTypeStateIssuer
F0116702OtherBOARD CERTIFICATION- AANP
201346120MedicaidIN
7100403070MedicaidKY
71006053BOtherINCSR
P01616062OtherINRAILROAD MEDICARE
000000996591OtherINANTHEM BCBS
PMORRIS2016OtherINLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dhs@direct.deaconess.com 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311001935 IN Practitioner - Nurse Practitioner 5395041651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul W Morrison, MD, LLCGroup PAC ID 0446256275, 2 clinicians

Practice addresses (Care Compare)

4727 Rosebud LN
Suite D
Newburgh, IN 47630-9367
Phone (812) 490-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28192121AINMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mark F Morrison, M.D., P.C. Current Accepting new patients
Paul W Morrison, MD, LLC CurrentSince Feb 7, 2016 Accepting new patients

Locations

4727 Rosebud Ln
Ste D
Newburgh, IN 47630
Phone (812) 475-8975

Organizations & group practices 2

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 3

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": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366815102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 ROSEBUD LN",
            "address_2": "SUITE D",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309367",
            "telephone_number": "812-490-5200",
            "fax_number": "812-490-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "CIARA",
        "middle_name": "LUCINDA",
        "name_prefix": "Mrs.",
        "credential": "FNP, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2023-03-07",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IN",
            "license": "28192121A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006053A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION- AANP",
            "identifier": "F0116702",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201346120",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100403070",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "71006053B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01616062",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000996591",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PMORRIS2016",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhs@direct.deaconess.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4727 Rosebud Ln",
            "address_2": "Suite D",
            "city": "Newburgh",
            "state": "IN",
            "country_code": "US",
            "postal_code": "476309367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.