Individual provider Active NPI

Danielle E Hamlin, FNP

  • Family Nurse Practitioner
  • Marion, IN
National Provider Identifier
1609541978
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011508A Issued in IN
Practice address
1130 N Baldwin Ave
Marion, IN 46952-2536
Phone
(765) 660-7480
Fax
(765) 662-1259
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71011508A IN
Family Nurse Practitioner 363LF0000X 71011508A IN Primary
Registered Nurse 163W00000X 28190299A IN

Addresses

Primary practice location

1130 N Baldwin Ave
Marion, IN 46952-2536

Mailing address

330 N Wabash Ave Ste G-20
Marion, IN 46952-2605
Phone (765) 660-7600

Other practice location 1

441 N Wabash Ave
Marion, IN 46952-2612
Phone (765) 660-6900

Other identifiers 1

IdentifierTypeStateIssuer
300055032MedicaidIN

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
I20210921002471 IN Practitioner - Nurse Practitioner 6204233083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians

Practice addresses (Care Compare)

1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 223-3141

Hospital & facility affiliations

  • Woodlawn Hospital Hospital, Rochester, IN, CCN 151313
  • Parkview Whitley Hospital Hospital, Columbia City, IN, CCN 150101
  • Woodlawn Hospital Nursing home, CCN 15Z313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28190299AINMDRegistered Nurse
71011508AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Kentucky PLLC Nurse Practitioner CurrentSince Jun 14, 2025 Accepting new patients

Locations

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292

Interoperability endpoints

  • Direct secure messaging: dhamlin688419@direct.parkviewexchange.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.

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1609541978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE STE G-20",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522605",
            "telephone_number": "765-660-7600",
            "fax_number": "765-651-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522536",
            "telephone_number": "765-660-7480",
            "fax_number": "765-662-1259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 N Wabash Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469522612",
            "country_code": "US",
            "telephone_number": "765-660-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "DANIELLE",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71011508A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011508A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28190299A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300055032",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.