Individual provider Active NPI

Julia L Bouse, NP

  • Family Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1649044520
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011658A Issued in IN
Practice address
3500 W Purdue Ave
Muncie, IN 47304-6357
Phone
(765) 747-6090
Fax
(765) 747-5069
NPI assigned
Nov 10, 2023
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 71011658A IN Primary
Family Nurse Practitioner 363LF0000X F07202140 OH

Addresses

Primary practice location

3500 W Purdue Ave
Muncie, IN 47304-6357

Mailing address

3500 W Purdue Ave
Muncie, IN 47304-6357
Phone (765) 747-6090

Other practice location 1

622 E Elm St
Union City, OH 45390-1722
Phone (765) 747-6090

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
I20231115002354 IN Practitioner - Nurse Practitioner 9830546654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Dermatology Center PCGroup PAC ID 5496706210, 12 clinicians

Practice addresses (Care Compare)

3500 W Purdue Ave
Muncie, IN 47304-6357
Phone 7657476090206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011658AINMDFamily Nurse Practitioner
F07202140OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Inphynet Primary Care Physicians Midwest, S.C. CurrentSince Aug 1, 2024 Accepting new patients
University Dermatology Center PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

1473 E State Road 44
Ste 1
Connersville, IN 47331

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

410 Pilgrim Blvd
Hartford City, IN 47348
Phone (317) 962-4272

3500 W Purdue Ave
Muncie, IN 47304
Phone (765) 286-0236

1758 W 100 S
Portland, IN 47371
Phone (260) 726-1814

510 W Votaw St
Bldg C
Portland, IN 47371

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": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1649044520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046357",
            "telephone_number": "765-747-6090",
            "fax_number": "765-747-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046357",
            "telephone_number": "765-747-6090",
            "fax_number": "765-747-5069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 E Elm St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "OH",
            "postal_code": "453901722",
            "country_code": "US",
            "telephone_number": "765-747-6090",
            "fax_number": "765-747-5069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUSE",
        "first_name": "JULIA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011658A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F07202140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.