Individual provider Active NPI

Hannah Renfrow, NP-C

  • Pediatric Nurse Practitioner
  • Marion, IN
National Provider Identifier
1487022810
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
28192587A Issued in IN
Practice address
1411 W Bella Drive
Marion, IN 46953
Phone
(765) 651-6637
Fax
(765) 651-6639
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 28192587A IN Primary

Addresses

Primary practice location

1411 W Bella Drive
Marion, IN 46953

Mailing address

1411 W Bella Drive
Marion, IN 46953
Phone (765) 651-6637

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
I20231202000171 IN Practitioner - Nurse Practitioner 2567810492 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
28192587AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marion General Hospital CurrentSince Nov 14, 2023 Accepting new patients
Marion General Hospital CurrentSince Nov 14, 2023 Accepting new patients
Marion Pediatrics LLC Past Accepting new patients

Locations

4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840

330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600

330 N Wabash Ave
Ste 320
Marion, IN 46952
Phone (765) 660-7660

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1487022810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W BELLA DRIVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "46953",
            "telephone_number": "765-651-6637",
            "fax_number": "765-651-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W BELLA DRIVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "46953",
            "telephone_number": "765-651-6637",
            "fax_number": "765-651-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFROW",
        "first_name": "HANNAH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "28192587A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.