Dina M Mourice, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

71006366A Issued in IN

Practice address

4803 W 71St St
Indianapolis, IN 46268-2149

Phone

(317) 293-9039

Fax

(855) 538-6177

NPI assigned

Feb 15, 2016

Last updated

Aug 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dina M Hermina Former name

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

St Mary Adult Medicine LLCGroup PAC ID 2769770098, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• St. Mary Adult Medicine, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1942481965
  Medicare reassignment Care Compare group Authorized official
• Villagehealth DM LLC

  • Case Management Agency
  • Denver, CO
  • NPI 1598273211

  IN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1619336096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 W 71ST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682149",
            "telephone_number": "317-293-9039",
            "fax_number": "317-293-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 W 71ST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682149",
            "telephone_number": "317-293-9039",
            "fax_number": "855-538-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURICE",
        "first_name": "DINA",
        "middle_name": "M",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71006366A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "HERMINA",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leah Michelle Moulder, NP
• Kristen Mounce, FNP
• Mour Fit LLC
• Mary Katherine Mour, LMHCA
• Ramona J Moureni, HHA
• Chloe Lauren Moushey, LCSW
• Hussein Moussa, MD
• Michelene Moussignac Antoine
• Youssef Moustafa, DPM
• Mout-Maine Moustapha, MS

• Adult Health Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Adult Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.

Verify at the official NPI Registry.