NPIMap

Individual provider Active NPI

Trina L Greenwald, MSN, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marion, IN
National Provider Identifier
1548298409
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71002182A Issued in IN
Practice address
515 N Bradner Ave
Marion, IN 46952-2449
Phone
(765) 664-8000
Fax
(877) 731-2066
NPI assigned
Jun 29, 2006
Last updated
Apr 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71002182A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71002182A IN Primary

Addresses

Primary practice location

515 N Bradner Ave
Marion, IN 46952-2449

Mailing address

515 N Bradner Ave
Marion, IN 46952-2449
Phone (765) 664-8000

Other identifiers 3

IdentifierTypeStateIssuer
000000799231OtherINANTHEM
9127305OtherINAETNA
200844580MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070409000548 IN Practitioner - Nurse Practitioner 7719081371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trina L. Greenwald LLCGroup PAC ID 6901043520, 4 clinicians

Practice addresses (Care Compare)

515 N Bradner Ave
Marion, IN 46952-2449

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71002182AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trina L. Greenwald LLC Psychiatric/Mental Health CurrentSince Mar 1, 2013 Accepting new patients
Low Cost RX Inc Past Accepting new patients
Family Psychiatric Center LLC Psychiatric/Mental Health PastSince Jun 27, 2004 Accepting new patients
Mindgent Healthcare Clinics, LLC Past Accepting new patients
Mending Minds, LLC PastSince Mar 1, 2022 Accepting new patients
A Brighter Future, LLC Past Accepting new patients

Locations

515 N Bradner Ave
Marion, IN 46952
Phone (765) 664-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1548298409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N BRADNER AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522449",
            "telephone_number": "765-664-8000",
            "fax_number": "877-731-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N BRADNER AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522449",
            "telephone_number": "765-664-8000",
            "fax_number": "877-731-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "TRINA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002182A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71002182A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000799231",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9127305",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200844580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.