Greg Andrew Fillenwarth, FNP,BC
Individual provider Active NPI Family Nurse Practitioner · North Vernon, IN
NPI 1477556108 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1477556108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71001766B (IN)
- Practice address
- 1800 Commercial Dr
North Vernon, IN 47265-5547 - Phone
- (812) 953-1348
- Fax
- (812) 953-1356
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Indiana ENT LLC
Practice addresses (Care Compare)
1655 N Gladstone Ave
Suite E
Columbus, IN 47201-5380
Phone (812) 376-3182
Hospital & facility affiliations
- Columbus Regional Hospital
- Schneck Medical Center
- Johnson Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050712001175 | IN | Practitioner - Nurse Practitioner | 5698701522 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001766B | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FC Indiana, LLC | Current |
Accepting new patients | |
| FC Indiana, LLC | Current |
Accepting new patients | |
| Southern Indiana ENT, LLC | Current |
Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Switzerland County Auditors Office | Past |
Accepting new patients |
Locations
2418 16th St
Bedford, IN 47421
Phone (812) 278-3154
1655 N Gladstone Ave
Ste E
Columbus, IN 47201
Phone (812) 376-3071
1159 W Jefferson St
Ste 202
Franklin, IN 46131
Phone (317) 346-3858
1202 E Tipton St
Seymour, IN 47274
Phone (812) 627-4933
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFDBED/Endpoint/CFDBED
- greg.fillenwarth@554941067886596.direct.elationemr.com
- greg.fillenwarth.1@12832.direct.athenahealth.com
- https://api.platform.athenahealth.com/12832/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71001766B | IN | Yes |
Addresses
Primary practice location
1800 Commercial Dr
North Vernon, IN 47265-5547
Mailing address
1800 Commercial Dr
North Vernon, IN 47265-5547
Phone (812) 953-1348
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200519260 | Medicaid | IN |
Other providers in North Vernon, IN
- Everside Health, LLC
- Expert Eyecare P C
- Kelly Ferguson
- Austin Robert Fiechter
- Patricia Ann Fields
- Heidi Frey
- James Terry Frey
- Galen Inpatient Physicians PC
- George'S Family Pharmacy, Inc.
- Allan L. Goins Jr.
All providers in North Vernon, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.