Nicole Anne Burrow Haag, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3010782 Issued in KY

Practice address

255 Quartermaster CT
Jeffersonville, IN 47130

Phone

(812) 282-4485

Fax

(812) 282-4496

NPI assigned

Oct 7, 2016

Last updated

Jun 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Burrow Former name

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sellersburg Internal Medicine and PediatricsGroup PAC ID 1850467200, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
• Baptist Health Floyd Hospital, New Albany, IN, CCN 150044

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2852/brand/1/csg/1/fhir/r4
• Direct secure messaging: nicole.haag.1@2852.direct.athenahealth.com

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.

• Sellersburg Internal Medicine & Pediatrics

  • Family Medicine Physician
  • Sellersburg, IN
  • NPI 1215062971
  Medicare reassignment Care Compare group NPD
• Little Clinic of in LLC

  • Family Nurse Practitioner
  • Floyds Knobs, IN
  • NPI 1558791384
  Medicare reassignment
• Prospero Ishkanian MD PSC

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1851510846
  NPD
• Alternative Health Solutions LLC

  dba BluMine Health Quartermaster

  • Primary Care Clinic/Center
  • Jeffersonville, IN
  • NPI 1801251624
  NPD (past)

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

• Baptist Healthcare System, Inc.

  dba Baptist Health Floyd

  • General Acute Care Hospital
  • New Albany, IN
  • NPI 1497798847
  Care Compare affiliation
• Norton Clark Hospital, LLC

  dba Norton Clark Hospital

  • General Acute Care Hospital
  • Jeffersonville, IN
  • NPI 1134186315
  Care Compare affiliation

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1497205926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 QUARTERMASTER CT",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303669",
            "telephone_number": "812-282-4485",
            "fax_number": "812-282-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 QUARTERMASTER CT",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "812-282-4485",
            "fax_number": "812-282-4496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5507 Silver Palm Pl",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471307727",
            "country_code": "US",
            "telephone_number": "502-938-5150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURROW HAAG",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BURROW",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin R Burke, M.D.
• Jessie K Burnett, APRN
• Lois A Burnett, NP
• Quentin Burnley
• Emma Burns
• Breanna N Burton, MSSW
• Brittany Burtraw, MSW
• William Cooper Buschemeyer Jr., M.D.
• Andrea Butcher, RBT
• Robyn Nicole Butler, MSOT, OTR

• Family Nurse Practitioner in Jeffersonville, IN
• Providers in Jeffersonville, 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 Jun 13, 2018; 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.