Active NPI
Ellen Kay Hensley, NP
- Critical Care Medicine Registered Nurse
- Anderson, IN
National Provider Identifier
1497465124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 71013201A
- Practice address
- 3715 S Scatterfield Rd
Anderson, IN 46013-2120 - Phone
- (765) 621-8223
- NPI assigned
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 71013201A | IN | Primary |
Addresses
Primary practice location
3715 S Scatterfield Rd
Anderson, IN 46013-2120
Mailing address
2822 W 34TH St
Anderson, IN 46011-4718
Phone (765) 621-8223
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nadivmobiletherapy@outlook.com | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250529000846 | IN | Practitioner - Nurse Practitioner | 6204355696 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71013201A | IN | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Health Medical in PC | Current | Accepting new patients |
Locations
1345 N Madison Ave
Anderson, IN 46011
Phone (765) 644-2888
407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252
Organizations & group practices 1
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": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1497465124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2822 W 34TH ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460114718",
"telephone_number": "765-621-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 S SCATTERFIELD RD",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460132120",
"telephone_number": "765-621-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSLEY",
"first_name": "ELLEN",
"middle_name": "KAY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2022-12-05",
"certification_date": "2022-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "IN",
"license": "71013201A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nadivmobiletherapy@outlook.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3715 S Scatterfield Rd",
"city": "Anderson",
"state": "IN",
"country_code": "US",
"postal_code": "460132120",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.