Individual provider Active NPI

David Gerard Vanremortel, ANP-BC

  • Adult Health Nurse Practitioner
  • Franklin, IN
National Provider Identifier
1548547490
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
28139858A Issued in IN
Practice address
2085 Acorn Blvd
Franklin, IN 46131-7306
Phone
(317) 346-2273
Fax
(317) 738-7850
NPI assigned
Nov 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 28139858A IN Primary

Addresses

Primary practice location

2085 Acorn Blvd
Franklin, IN 46131-7306

Mailing address

2085 Acorn Blvd
Franklin, IN 46131-7306
Phone (317) 346-2273

Other identifiers 1

IdentifierTypeStateIssuer
28139858AOtherININDIANA NURSING LICENSE NUMBER

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
I20150812006720 IN Practitioner - Nurse Practitioner 9830404482 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28139858AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Hospital Current Accepting new patients
Johnson Memorial Hospital CurrentSince Jul 1, 2020 Accepting new patients
Johnson Memorial Hospital CurrentSince Jul 1, 2020 Accepting new patients

Locations

2085 Acorn Blvd
Franklin, IN 46131
Phone (317) 346-2273

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

Organizations & group practices 3

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": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1548547490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 ACORN BLVD",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461317306",
            "telephone_number": "317-346-2273",
            "fax_number": "317-738-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 ACORN BLVD",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461317306",
            "telephone_number": "317-346-2273",
            "fax_number": "317-738-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANREMORTEL",
        "first_name": "DAVID",
        "middle_name": "GERARD",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28139858A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA NURSING LICENSE NUMBER",
            "identifier": "28139858A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, IN

Sources for this page

Verify at the official NPI Registry.