Individual provider Active NPI

Nathan Wheeler, APRN

  • Family Nurse Practitioner
  • Kokomo, IN
National Provider Identifier
1619473873
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008075A Issued in IN
Practice address
107 S Washington St Ste C
Kokomo, IN 46901-4601
Phone
(765) 450-6735
NPI assigned
Apr 4, 2018
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21608 SC
Acute Care Nurse Practitioner 363LA2100X 21608 SC
Adult Health Nurse Practitioner 363LA2200X 21608 SC
Adult Health Nurse Practitioner 363LA2200X 71008075A IN
Family Nurse Practitioner 363LF0000X 71008075A IN Primary
Gerontology Nurse Practitioner 363LG0600X 21608 SC

Addresses

Primary practice location

107 S Washington St Ste C
Kokomo, IN 46901-4601

Mailing address

138 N Dixon Rd
Kokomo, IN 46901-4154

Other practice location 1

138 N Dixon Rd
Kokomo, IN 46901
Phone (765) 236-8282

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
I20180905000048 IN Practitioner - Nurse Practitioner 3971853490 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulaski Memorial HospitalGroup PAC ID 3173515509, shared by 32 NPIs, 45 clinicians
Lafayette Pain Care, P.C.Group PAC ID 3678728680, 8 clinicians

Practice addresses (Care Compare)

616 E 13TH St
Winamac, IN 46996-1117
Phone (574) 946-2100

770 Park E Blvd B
Lafayette, IN 47905-0786
Phone (765) 714-4344

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008075AINMDFamily Nurse Practitioner
21608SCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulaski Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Lafayette Pain Care, P.C. CurrentSince Oct 1, 2023 Accepting new patients
Pulaski Memorial Hospital Current Accepting new patients
Lafayette Pain Care PC CurrentSince Oct 1, 2023 Accepting new patients
Pulaski Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients

Locations

107 S Washington St
Ste C
Kokomo, IN 46901
Phone (317) 798-0040

770 Park East Blvd
Ste B
Lafayette, IN 47905
Phone (765) 366-4344

707 N River Dr
Marion, IN 46952
Phone (765) 573-5999

1207 E Grace St
Rensselaer, IN 47978
Phone (800) 541-8142

540 Hospital Dr
Winamac, IN 46996
Phone (574) 935-4327

613 Terrace Dr
Winamac, IN 46996
Phone (574) 946-4290

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Interoperability endpoints

  • Direct secure messaging: nathan.wheeler@1346.securemail.prognocis.com
  • Direct secure messaging: nathan.wheeler@4347.securemail.prognocis.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1619473873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 N DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S WASHINGTON ST STE C",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014601",
            "telephone_number": "765-450-6735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 N Dixon Rd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "46901",
            "country_code": "US",
            "telephone_number": "765-236-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "NATHAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "21608",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "21608",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "21608",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71008075A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008075A",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "21608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.