Individual provider Active NPI

Samuel I Parmenter, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1568948313
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71014881A Issued in IN
Practice address
205 N College Ave Ste 510
Bloomington, IN 47404-3952
Phone
(812) 821-7130
NPI assigned
Jul 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71014881A IN Primary

Addresses

Primary practice location

205 N College Ave Ste 510
Bloomington, IN 47404-3952

Mailing address

205 N College Ave Ste 510
Bloomington, IN 47404-3952
Phone (812) 821-7130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 28, 2024 through Oct 28, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercury Mental Health LLC Psychiatric/Mental Health CurrentSince Apr 6, 2023 Accepting new patients

Locations

50 S Steele St
Ste 950
Denver, CO 80209
Phone (347) 450-5892

205 N College Ave
Ste 510
Bloomington, IN 47404
Phone (812) 821-7130

205 N College Ave
Ste 216
Bloomington, IN 47404
Phone (720) 254-1353

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.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1568948313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N COLLEGE AVE STE 510",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043952",
            "telephone_number": "812-821-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N COLLEGE AVE STE 510",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043952",
            "telephone_number": "812-821-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMENTER",
        "first_name": "SAMUEL",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71014881A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.