Individual provider Active NPI

Hannah Lachele Coomer, FNP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1497358444
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010604A Issued in IN
Practice address
9365 Couselor'S Row
Suite 200
Indianapolis, IN 46240
Phone
(317) 429-0120
Fax
(317) 800-7730
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28230179A IN
Family Nurse Practitioner 363LF0000X 71010604A IN Primary

Addresses

Primary practice location

9365 Couselor'S Row
Suite 200
Indianapolis, IN 46240

Mailing address

2550 Lakecrest Dr
Columbus, IN 47201-1442
Phone (128) 371-0454

Other practice location 1

429 E Vermont St
Indianapolis, IN 46202-3690
Phone (317) 559-0950

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
I20201204001903 IN Practitioner - Nurse Practitioner 0446661904 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28230179AINMDRegistered Nurse
71010604AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Home Physicians Inc CurrentSince Mar 22, 2021 Accepting new patients

Locations

1251 N Eddy St
Ste 200
South Bend, IN 46617
Phone (219) 286-7258

Organizations & group practices 2

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": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1497358444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 LAKECREST DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472011442",
            "telephone_number": "128-371-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9365 COUSELOR'S ROW",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46240",
            "telephone_number": "317-429-0120",
            "fax_number": "317-800-7730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 E Vermont St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462023690",
            "country_code": "US",
            "telephone_number": "317-559-0950",
            "fax_number": "317-936-3028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOMER",
        "first_name": "HANNAH",
        "middle_name": "LACHELE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2022-07-07",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28230179A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010604A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.