Individual provider Active NPI

Paula J Jochim, FNP

  • Nurse Practitioner
  • Dale, IN
National Provider Identifier
1457394348
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71000521 Issued in IN
Practice address
4 W Vine St
Dale, IN 47523-9061
Phone
(812) 937-7140
Fax
(812) 937-7145
NPI assigned
Jun 14, 2006
Last updated
Jun 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71000521 IN Primary

Addresses

Primary practice location

4 W Vine St
Dale, IN 47523-9061

Mailing address

PO Box 1028
Jasper, IN 47547-1028
Phone (812) 481-8483

Other identifiers 2

IdentifierTypeStateIssuer
500005397OtherINRAILROAD MEDICARE
200187100MedicaidIN

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
I20050426001468 IN Practitioner - Nurse Practitioner 0143269449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

115 S Main St
Ferdinand Family Medicine
Ferdinand, IN 47532-9534
Phone (812) 367-1906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71000521INMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc Nurse Practitioner Current Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Aug 1, 2013 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Aug 1, 2013 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients

Locations

4 W Vine St
Dale, IN 47523
Phone (812) 937-7140

115 S Main St
Ferdinand, IN 47532
Phone (812) 367-1906

407 E 22nd St
Huntingburg, IN 47542
Phone (812) 683-3612

721 W 13th St
Ste 102
Jasper, IN 47546
Phone (812) 481-1655

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

92 W Christmas Blvd
Santa Claus, IN 47579
Phone (812) 482-5656

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1457394348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475471028",
            "telephone_number": "812-481-8483",
            "fax_number": "812-481-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W VINE ST",
            "city": "DALE",
            "state": "IN",
            "postal_code": "475239061",
            "telephone_number": "812-937-7140",
            "fax_number": "812-937-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOCHIM",
        "first_name": "PAULA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500005397",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200187100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dale, IN

Sources for this page

Verify at the official NPI Registry.