Individual provider Active NPI

Debora Ann Nygren, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1487616108
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001404A Issued in IN
Practice address
1909 N Whitcomb Ave
Indianapolis, IN 46224-5540
Phone
(317) 809-8242
NPI assigned
Apr 6, 2006
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71001404A IN Primary

Addresses

Primary practice location

1909 N Whitcomb Ave
Indianapolis, IN 46224-5540

Mailing address

1909 N Whitcomb Ave
Indianapolis, IN 46224-5540
Phone (317) 809-8242

Other identifiers 1

IdentifierTypeStateIssuer
300006064MedicaidIN

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

Practice roles

OrganizationSpecialtyStatusNew patients
Low Cost RX Inc Past Accepting new patients
Riggs Community Health Center Inc Past Accepting new patients
Mindgent Healthcare Clinics, LLC Past Accepting new patients
Chiro 1St PC of Indiana Past Accepting new patients
Fishers Family Physicians Past Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: debora.nygren.1@20754.direct.athenahealth.com
  • Direct secure messaging: debora.nygren.1@31653.direct.athenahealth.com

Organizations & group practices 6

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1487616108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 N WHITCOMB AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462245540",
            "telephone_number": "317-809-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N WHITCOMB AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462245540",
            "telephone_number": "317-809-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYGREN",
        "first_name": "DEBORA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001404A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300006064",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.