Active NPI
Ronald Joseph Hacker, FNP-C
- Family Nurse Practitioner
- Columbus, IN
National Provider Identifier
1558940155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28200453A
- Practice address
- 6125 Inwood Dr
Columbus, IN 47201-5698 - Phone
- (317) 559-2309
- Fax
- (833) 963-2211
- NPI assigned
- Apr 2, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28200453A | IN | Primary |
Addresses
Primary practice location
6125 Inwood Dr
Columbus, IN 47201-5698
Mailing address
10847 E Greendale Dr
Seymour, IN 47274-8550
Phone (812) 767-5828
Other practice location 1
6125 Inwood Dr
Columbus, IN 47201-5698
Phone (812) 342-5150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28200453A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Interoperability endpoints
- ronald.hacker.1@14940.direct.athenahealth.com
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1558940155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10847 E GREENDALE DR",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472748550",
"telephone_number": "812-767-5828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6125 INWOOD DR",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472015698",
"telephone_number": "317-559-2309",
"fax_number": "833-963-2211"
}
],
"practiceLocations": [
{
"address_1": "6125 Inwood Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "IN",
"postal_code": "472015698",
"country_code": "US",
"telephone_number": "812-342-5150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HACKER",
"first_name": "RONALD",
"middle_name": "JOSEPH",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-02",
"last_updated": "2022-04-25",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28200453A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.