Active NPI
Mary Margaret Gregory, FNP-C
- Family Nurse Practitioner
- Evansville, IN
National Provider Identifier
1437254661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71000491A
- Practice address
- 1750 Oak Hill Rd
Evansville, IN 47711-4364 - Phone
- (812) 485-2580
- Fax
- (812) 485-2590
- NPI assigned
- Sep 13, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71000491A | IN | Primary |
Addresses
Primary practice location
1750 Oak Hill Rd
Evansville, IN 47711-4364
Mailing address
1202W Buena Vista Rd 202
Evansville, IN 47710-5134
Phone (812) 429-0721
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000234633 | Other | IN | BCBS # |
| 78006509 | Medicaid | KY | |
| 200353310 | Medicaid | IN |
Other names 1
- Mary Margaret Ulrich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000491A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Family Care, PC | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Evansville, IN
- NPI 1174746127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1437254661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202W BUENA VISTA RD 202",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477105134",
"telephone_number": "812-429-0721",
"fax_number": "812-429-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 OAK HILL RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477114364",
"telephone_number": "812-485-2580",
"fax_number": "812-485-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "MARY",
"middle_name": "MARGARET",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71000491A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS #",
"identifier": "000000234633",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78006509",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200353310",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "ULRICH",
"middle_name": "MARGARET",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.