Individual provider Active NPI

Nancy Thong, NP

  • Family Nurse Practitioner
  • Westfield, IN
National Provider Identifier
1639567597
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005276A Issued in IN
Practice address
3501 Westfield Rd Ste 101
Westfield, IN 46062-8935
Phone
(765) 742-1567
Fax
(317) 214-6015
NPI assigned
Dec 30, 2014
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71005276A IN Primary

Addresses

Primary practice location

3501 Westfield Rd Ste 101
Westfield, IN 46062-8935

Mailing address

710 Veterans Memorial Pkwy W
Apt. #112
Lafayette, IN 47909-6959
Phone (317) 418-0687

Other identifiers 1

IdentifierTypeStateIssuer
100232630AMedicaidIN

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
I20150311002046 IN Practitioner - Nurse Practitioner 1153647094 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71005276AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Rheumatology, LLC CurrentSince May 1, 2023 Accepting new patients
Excell for Life Family Care and Pediatrics Inc. CurrentSince Nov 16, 2020 Accepting new patients
Riggs Community Health Center Inc Past Accepting new patients

Locations

1329 W 96th St
Ste 1
Indianapolis, IN 46260
Phone (317) 660-0888

3501 Westfield Rd
Ste 101
Westfield, IN 46062
Phone (317) 214-6020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23703/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1639567597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 VETERANS MEMORIAL PKWY W",
            "address_2": "APT. #112",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479096959",
            "telephone_number": "317-418-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 WESTFIELD RD STE 101",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460628935",
            "telephone_number": "765-742-1567",
            "fax_number": "317-214-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THONG",
        "first_name": "NANCY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005276A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232630A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

Verify at the official NPI Registry.