Greg Andrew Fillenwarth, FNP,BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71001766B Issued in IN

Practice address

1800 Commercial Dr
North Vernon, IN 47265-5547

Phone

(812) 953-1348

Fax

(812) 953-1356

NPI assigned

May 27, 2005

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Indiana ENT LLCGroup PAC ID 6507964137, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
• Schneck Medical Center Hospital, Seymour, IN, CCN 150065
• Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: greg.fillenwarth.1@12832.direct.athenahealth.com
• Direct secure messaging: greg.fillenwarth@554941067886596.direct.elationemr.com
• FHIR API: https://api.platform.athenahealth.com/12832/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/CFDBED/Endpoint/CFDBED

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.

• Southern Indiana ENT, LLC

  • Otolaryngology Physician
  • Columbus, IN
  • NPI 1013030618
  Medicare reassignment Care Compare group NPD
• FC Indiana, LLC

  dba First Care Clinics

  • Nurse Practitioner
  • Bedford, IN
  • NPI 1225579063
  Medicare reassignment NPD
• FC Indiana, LLC

  • Rural Health Clinic/Center
  • Bedford, IN
  • NPI 1841911591
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Switzerland County Auditors Office

  • Land Ambulance
  • Vevay, IN
  • NPI 1386099810
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbus Regional Hospital

  • General Acute Care Hospital
  • Columbus, IN
  • NPI 1104998624
  Care Compare affiliation
• Jackson County Schneck Memorial Hospital

  dba Schneck Medical Center

  • General Acute Care Hospital
  • Seymour, IN
  • NPI 1699738088
  Care Compare affiliation
• Johnson Memorial Hospital

  • General Acute Care Hospital
  • Franklin, IN
  • NPI 1346248986
  Care Compare affiliation
• Johnson Memorial Hospital

  dba JMH Immediate/Occupation Health

  • Occupational Medicine Clinic/Center
  • Franklin, IN
  • NPI 1679577357

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1477556108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMERCIAL DR",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472655547",
            "telephone_number": "812-953-1348",
            "fax_number": "812-953-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COMMERCIAL DR",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472655547",
            "telephone_number": "812-953-1348",
            "fax_number": "812-953-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLENWARTH",
        "first_name": "GREG",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "FNP,BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001766B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everside Health, LLC
• Expert Eyecare P C
• Kelly Ferguson, PHARMD
• Austin Robert Fiechter, COTA
• Patricia Ann Fields, PMHNP APRN
• Heidi Frey, NP
• James Terry Frey, DDS
• Galen Inpatient Physicians PC
• George's Family Pharmacy, Inc.
• Allan L. Goins Jr., DDS

• Family Nurse Practitioner in North Vernon, IN
• Providers in North Vernon, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.