Individual provider Active NPI

John Todd

  • Nurse Practitioner
  • Brookville, IN
National Provider Identifier
1497314769
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0033982 Issued in OH
Practice address
11137 US 52
Brookville, IN 47012-7901
Phone
(765) 647-5126
NPI assigned
Jun 11, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Inc of Columbus 12 clinicians

Practice addresses (Care Compare)

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5277

Hospital & facility affiliations

  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200328000058 IN Practitioner - Nurse Practitioner 0547699472 Reassigns benefits to 7 organizations
I20230905000529 OH Practitioner - Nurse Practitioner 0547699472 Reassigns benefits to 2 organizations
I20231229000949 WI Practitioner - Nurse Practitioner 0547699472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14509WIMDPhysical Therapist
71009875AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of Tennessee PC Nurse Practitioner CurrentSince Jun 1, 2021 Accepting new patients
Ohio Emergency Professionals Inc Nurse Practitioner CurrentSince Oct 1, 2023 Accepting new patients
Margaret Mary Community Hospital, Inc CurrentSince Mar 1, 2020 Accepting new patients
Emergency Physicians Inc of Columbus CurrentSince Jan 4, 2025 Accepting new patients
Margaret Mary Community Hospital, Inc CurrentSince Mar 1, 2020 Accepting new patients
Emergency Professionals of Indiana, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Emergency Professional Services, Inc. Nurse Practitioner CurrentSince Oct 1, 2023 Accepting new patients
Obermeyer Chiropractic P.C. CurrentSince Apr 1, 2022 Accepting new patients
Indiana Emergency Professionals PC Nurse Practitioner CurrentSince Jun 10, 2020 Accepting new patients
Inphynet Primary Care Physicians Midwest, S.C. Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
Margaret Mary Community Hospital Inc Current Accepting new patients
Major Hospital Past Accepting new patients

Locations

128 N Walnut St
Batesville, IN 47006
Phone (812) 932-1770

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800

11137 US 52
#A
Brookville, IN 47012
Phone (765) 647-5126

11137 US Highway 52
Brookville, IN 47012
Phone (765) 646-5126

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

6515 Stellhorn Rd
Fort Wayne, IN 46815
Phone (260) 435-7001

702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

112 N Buckeye St
Osgood, IN 47037
Phone (812) 689-3424

275 W 12th St
Peru, IN 46970
Phone (317) 472-8022

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Interoperability endpoints

  • Direct secure messaging: john.todd@mmhealth.cernerdirect.com
  • Direct secure messaging: jtodd56508@edirect.crh.org

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71009875A IN
Family Nurse Practitioner 363LF0000X 71009875A IN
Family Nurse Practitioner 363LF0000X APRN.CNP.0033982 OH
Nurse Practitioner 363L00000X APRN.CNP.0033982 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

11137 US 52
Brookville, IN 47012-7901

Mailing address

PO Box 236
Batesville, IN 47006-0236
Phone (812) 933-5441

Other practice location 1

24033 Humbert Ln
Laurel, IN 47024-9472
Phone (765) 561-4506

Other practice location 2

112 N Buckeye St
Osgood, IN 47037-1134
Phone (812) 689-3424

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address John.Todd@mmhealth.cernerdirect.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2024.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1497314769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470060236",
            "telephone_number": "812-933-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11137 US 52",
            "city": "BROOKVILLE",
            "state": "IN",
            "postal_code": "470127901",
            "telephone_number": "765-647-5126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24033 Humbert Ln",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "IN",
            "postal_code": "470249472",
            "country_code": "US",
            "telephone_number": "765-561-4506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N Buckeye St",
            "address_purpose": "LOCATION",
            "city": "Osgood",
            "state": "IN",
            "postal_code": "470371134",
            "country_code": "US",
            "telephone_number": "812-689-3424",
            "fax_number": "812-933-5237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009875A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009875A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0033982",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0033982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.Todd@mmhealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "11137 US 52",
            "city": "Brookville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "470127901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookville, IN

Sources for this page

Verify at the official NPI Registry.