Individual provider Active NPI

Tera L Knepp, FNP

  • Nurse Practitioner
  • Washington, IN
National Provider Identifier
1437126570
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71002022A Issued in IN
Practice address
1401 Memorial Ave Ste B
Washington, IN 47501-3154
Phone
(812) 254-2400
Fax
(812) 254-3191
NPI assigned
Mar 8, 2006
Last updated
Aug 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71002022A IN Primary
Women's Health Nurse Practitioner 363LW0102X 71002022A IN
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 71002022A IN

Addresses

Primary practice location

1401 Memorial Ave Ste B
Washington, IN 47501-3154

Mailing address

1401 Memorial Ave Ste B
Washington, IN 47501-3154
Phone (812) 254-2400

Other identifiers 4

IdentifierTypeStateIssuer
000000390526OtherINANTHEM
P1660790OtherINRRMCR
DQ1052OtherINGROUP RRMCR
200800420MedicaidIN

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
I20060427000479 IN Practitioner - Nurse Practitioner 5496765950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan Frances, DO, LLCGroup PAC ID 7012924806, 2 clinicians

Practice addresses (Care Compare)

1401 Memorial Ave B
Washington, IN 47501-3154
Phone (812) 254-2400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Frances, DO,LLC CurrentSince Oct 24, 2015 Accepting new patients
Jonathan E Frances, DO, LLC CurrentSince Oct 24, 2015 Accepting new patients

Locations

1401 Memorial Ave
Ste B
Washington, IN 47501
Phone (812) 254-2400

Interoperability endpoints

  • Direct secure messaging: tera.knepp.1@14075.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1437126570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MEMORIAL AVE STE B",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475013154",
            "telephone_number": "812-254-2400",
            "fax_number": "812-254-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEMORIAL AVE STE B",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475013154",
            "telephone_number": "812-254-2400",
            "fax_number": "812-254-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEPP",
        "first_name": "TERA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002022A",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71002022A",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IN",
            "license": "71002022A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000390526",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P1660790",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RRMCR",
            "identifier": "DQ1052",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200800420",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.