Individual provider Active NPI

Hardeep Kaur Pabla, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenwood, IN
National Provider Identifier
1609630532
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71015023A Issued in IN
Practice address
898 E Main St
Greenwood, IN 46143-1407
Phone
(317) 887-1348
NPI assigned
Feb 12, 2024
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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 71015023A IN Primary

Addresses

Primary practice location

898 E Main St
Greenwood, IN 46143-1407

Mailing address

1223 Kingfisher Dr
Greenwood, IN 46143-6452
Phone (317) 534-7036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240924003745 IN Practitioner - Certified Clinical Nurse Specialist (CNS) 1951842442 Reassigns benefits to 2 organizations
I20250306001437 IN Practitioner - Nurse Practitioner 1951842442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valle Vista LLCGroup PAC ID 8224948930, 10 clinicians

Practice addresses (Care Compare)

898 E Main St
Greenwood, IN 46143-1407
Phone (317) 887-1348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71015023AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatry CurrentSince Sep 27, 2024 Accepting new patients
Valle Vista LLC CurrentSince Jul 12, 2024 Accepting new patients
Valle Vista, LLC CurrentSince Jul 12, 2024 Accepting new patients
Integrative Wellness, LLC Psychiatry CurrentSince Jan 1, 2025 Accepting new patients
Valle Vista LLC Past Accepting new patients
Indiana Spine Group, PC PastSince Jan 1, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

407 E Market St
Ste 101
Crawfordsville, IN 47933
Phone (317) 428-5044

2485 E Wabash St
Frankfort, IN 46041
Phone (765) 656-3900

898 E Main St
Greenwood, IN 46143
Phone (317) 887-1348

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

1310 S Lebanon St
Ste C
Lebanon, IN 46052
Phone (765) 201-0407

215 W Chicago St
Lebanon, IN 46052

218 E Washington St
Lebanon, IN 46052

151 E Bow St
Thorntown, IN 46071
Phone (765) 436-2400

1650 W Oak St
Zionsville, IN 46077
Phone (317) 733-6300

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1609630532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 KINGFISHER DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436452",
            "telephone_number": "317-534-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 E MAIN ST",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431407",
            "telephone_number": "317-887-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABLA",
        "first_name": "HARDEEP",
        "middle_name": "KAUR",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71015023A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.