Active NPI
Danielle E Hamlin, FNP
- Family Nurse Practitioner
- Marion, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71011508A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300055032 | Medicaid | IN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLC
Practice addresses (Care Compare)
1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 223-3141
Hospital & facility affiliations
- Woodlawn Hospital
- Parkview Whitley Hospital
- Woodlawn Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28190299A | IN | MD | Registered Nurse |
| 71011508A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group of Kentucky PLLC | Nurse Practitioner | Current | 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
- 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.
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
IN, Nurse Practitioner
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
Hospital
-
- Medicare Defined Swing Bed Hospital Unit
- Rochester, IN
- NPI 1548396534
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.