Individual provider Active NPI

Joshua D Greene, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Shelbyville, IN
National Provider Identifier
1639849599
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71011944A Issued in IN
Practice address
2325 Intelliplex Dr Ste 207
Shelbyville, IN 46176-8546
Phone
(317) 392-2971
Fax
(317) 398-1894
NPI assigned
Sep 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28233687A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71011944A IN Primary

Addresses

Primary practice location

2325 Intelliplex Dr Ste 207
Shelbyville, IN 46176-8546

Mailing address

30 W Rampart St Suite 200
Shelbyville, IN 46176-8846
Phone (317) 421-2012

Other practice location 1

1214 Stonehedge Way
Shelbyville, IN 46176-3311
Phone (317) 395-9238

Other identifiers 1

IdentifierTypeStateIssuer
300058239MedicaidIN

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
I20220426001340 IN Practitioner - Nurse Practitioner 3577950377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Major HospitalGroup PAC ID 0446167415, 100 clinicians
Major Multispecialty AssociatesGroup PAC ID 6305997842, 39 clinicians

Practice addresses (Care Compare)

2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 392-3211

2451 Intelliplex Dr
Shelbyville, IN 46176-8581

30 W Rampart St
Shelbyville, IN 46176-8845

30 W Rampart St
Suite 200
Shelbyville, IN 46176-5526

30 W Rampart St
Suite 200
Shelbyville, IN 46176-8846

Hospital & facility affiliations

  • Major Hospital Hospital, Shelbyville, IN, CCN 150097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011944AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Major Multispecialty Associates CurrentSince Apr 25, 2022 Accepting new patients
Major Hospital CurrentSince Apr 25, 2022 Accepting new patients
Major Hospital CurrentSince Apr 25, 2022 Accepting new patients
X-Ray Physicians of Shelbyville PC Current Accepting new patients
Major Multispecialty Associates CurrentSince Apr 25, 2022 Accepting new patients

Locations

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

30 W Rampart St
Ste 160
Shelbyville, IN 46176
Phone (317) 392-2161

2325 Intelliplex Dr
Ste 207
Shelbyville, IN 46176
Phone (317) 392-2971

2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1639849599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W RAMPART ST SUITE 200",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768846",
            "telephone_number": "317-421-2012",
            "fax_number": "317-398-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 INTELLIPLEX DR STE 207",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768546",
            "telephone_number": "317-392-2971",
            "fax_number": "317-398-1894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1214 Stonehedge Way",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461763311",
            "country_code": "US",
            "telephone_number": "317-395-9238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JOSHUA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28233687A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71011944A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300058239",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.