Individual provider Active NPI

Bettina Thomas, ANP-C

  • Adult Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1619161437
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71002909A Issued in IN
Practice address
8333 Naab Rd Ste 420
Indianapolis, IN 46260-1992
Phone
(317) 338-6666
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71002909A IN Primary

Addresses

Primary practice location

8333 Naab Rd Ste 420
Indianapolis, IN 46260-1992

Mailing address

8333 Naab Rd Ste 420
Indianapolis, IN 46260-1992

Other practice location 1

8333 Naab Rd Ste 400
Indianapolis, IN 46260-1992
Phone (317) 338-6666

Other practice location 2

8333 Naab Rd Ste 400
Indianapolis, IN 46260-1992
Phone (317) 338-6666

Other identifiers 2

IdentifierTypeStateIssuer
200937630MedicaidIN
71002909AOtherINPRESCRIPTIVE AUTHORITY

Other names 1

  • Bettina Cole Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bettina.thomas.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20090423000353 IN Practitioner - Nurse Practitioner 7911091814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

10580 N Meridian St
Carmel, IN 46290-1028
Phone (317) 583-5000

10590 N Meridian St
Carmel, IN 46290-1028

1684 Bush LN
Crawfordsville, IN 47933-3364
Phone (765) 365-9500

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

8333 Naab Rd
Suite 420
Indianapolis, IN 46260-1992
Phone (317) 338-6666

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71002909AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jun 10, 2010 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jun 10, 2010 Accepting new patients
Major Hospital Past Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

10590 N Meridian St
Ste 125
Carmel, IN 46290
Phone (317) 583-7900

10590 N Meridian St
Carmel, IN 46290
Phone (317) 338-6666

1684 Bush Ln
Crawfordsville, IN 47933
Phone (765) 365-9500

8333 Naab Rd
Ste 335
Indianapolis, IN 46260
Phone (317) 338-5066

8333 Naab Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-5066

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8333 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-3103

8333 Naab Rd
Ste 420
Indianapolis, IN 46260
Phone (317) 338-6666

17525 River Rd
Noblesville, IN 46062
Phone (317) 773-7711

Interoperability endpoints

  • Direct secure messaging: bettina.thomas.1@7598.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1619161437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NAAB RD STE 420",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 NAAB RD STE 420",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601992",
            "telephone_number": "317-338-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8333 Naab Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601992",
            "country_code": "US",
            "telephone_number": "317-338-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8333 Naab Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601992",
            "country_code": "US",
            "telephone_number": "317-338-6666",
            "fax_number": "317-338-6066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BETTINA",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71002909A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200937630",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTIVE AUTHORITY",
            "identifier": "71002909A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bettina.thomas.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "8333 Naab Rd Ste 420",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462601992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETTINA",
            "last_name": "COLE",
            "credential": "ANP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.