Individual provider Active NPI

Christy Eileen Minor, APRN

  • Family Nurse Practitioner
  • Madison, IN
National Provider Identifier
1619798956
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015919A Issued in IN
Practice address
630 Broadway St # 2
Madison, IN 47250-3310
Phone
(812) 801-0995
Fax
(812) 801-8621
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71015919A IN Primary
Primary Care Nurse Practitioner 363LP2300X 71015919A IN

Addresses

Primary practice location

630 Broadway St # 2
Madison, IN 47250-3310

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (812) 801-0995

Other practice location 1

1190 W Main St Ste 200
Vevay, IN 47043-3665
Phone (812) 427-9564

Other identifiers 2

IdentifierTypeStateIssuer
7101026100MedicaidKY
300098974MedicaidIN

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
I20241211004057 IN Practitioner - Nurse Practitioner 0648706861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

630 N Broadway St
Level 2
Madison, IN 47250-7328
Phone (812) 801-0995

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71015919AINMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton - Kings Daughters Health Inc CurrentSince Jan 1, 2025 Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Jan 1, 2025 Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

630 Broadway St
Madison, IN 47250
Phone (812) 265-0801

630 Broadway St
#2
Madison, IN 47250
Phone (812) 801-0995

630 Broadway St
Ste 2
Madison, IN 47250

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1190 W Main St
Ste 200
Vevay, IN 47043
Phone (812) 427-9423

Interoperability endpoints

  • Direct secure messaging: cminor311557@direct.nortonhealthcare.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1619798956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "812-801-0995",
            "fax_number": "812-801-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BROADWAY ST # 2",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503310",
            "telephone_number": "812-801-0995",
            "fax_number": "812-801-8621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 W Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Vevay",
            "state": "IN",
            "postal_code": "470433665",
            "country_code": "US",
            "telephone_number": "812-427-9564",
            "fax_number": "812-427-9621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINOR",
        "first_name": "CHRISTY",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015919A",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71015919A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101026100",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300098974",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.