Anna Comstock
Individual provider Active NPI Family Nurse Practitioner · Shelbyville, IN
NPI 1508407131 · NPPES record last updated Sep 10, 2020
Key facts
- NPI
- 1508407131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71009447A (IN)
- Practice address
- 2451 Intelliplex Dr Ste 260
Shelbyville, IN 46176-8580 - Phone
- (317) 398-0121
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Major Hospital
Practice addresses (Care Compare)
2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 392-3211
30 W Rampart St
Suite 200
Shelbyville, IN 46176-5526
30 W Rampart St
Suite 200
Shelbyville, IN 46176-8846
Hospital & facility affiliations
- Suburban Home Health LLC
- Major Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200304001085 | IN | Practitioner - Nurse Practitioner | 9032546015 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Current |
Accepting new patients | |
| Major Hospital | Current |
Accepting new patients | |
| X-Ray Physicians of Shelbyville PC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211
30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121
2451 Intelliplex Dr
Ste 260
Shelbyville, IN 46176
Phone (317) 398-0121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71009447A | IN | Yes |
Addresses
Primary practice location
2451 Intelliplex Dr Ste 260
Shelbyville, IN 46176-8580
Mailing address
30 W Rampart St Ste 200
Shelbyville, IN 46176-8846
Phone (317) 398-0121
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | IHIE |
Other providers in Shelbyville, IN
- Michelle Renee Collings
- Connie S Collins
- Ashley Combs
- Comprehensive Pain and Spine Specialists LLC
- Comprehensive Pain and Spine Specialists LLC
- Teethena Comeko Cooper
- Amy Nicole Coopman
- Theresa Costello
- Betsy Crandall
- Molly Kathleen Cremons
All providers in Shelbyville, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.