Nichole R Ingersoll, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71001351A Issued in IN

Practice address

8845 Pin Oak Dr
Zionsville, IN 46077-8530

Phone

(317) 769-3700

NPI assigned

Jan 23, 2006

Last updated

Nov 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Integrative Health Specialist of Indiana PC

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1689629511
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1558331652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8845 PIN OAK DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778530",
            "telephone_number": "317-769-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 PIN OAK DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778530",
            "telephone_number": "317-769-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGERSOLL",
        "first_name": "NICHOLE",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001351A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I & J's Home Care LLC
• Indiana Institute for Prosthetics LLC
• Indiana Radiology Professionals LLC (REM Radiologists)
• Indiana University School of Medicine
• Indy Medical Supplies LLC
• Inspireability Care LLC
• Cashay Irby
• Adrianna Jackson
• Susan Jacob, MD
• Jama Gail Edwards MD PC

• Family Nurse Practitioner in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.

Verify at the official NPI Registry.