Individual provider Active NPI

Heather Ormiston-Leclear, NP-C

  • Family Nurse Practitioner
  • Decatur, IN
National Provider Identifier
1649878554
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10200747 Issued in TX
Practice address
632 S 13TH St
Decatur, IN 46733-1859
Phone
(260) 706-2013
Fax
(260) 301-3118
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71011277A IN
Family Nurse Practitioner 363LF0000X F10200747 TX Primary

Addresses

Primary practice location

632 S 13TH St
Decatur, IN 46733-1859

Mailing address

7314 Maeve Dr
Fort Wayne, IN 46835-9204
Phone (260) 440-6619

Other identifiers 1

IdentifierTypeStateIssuer
0044824MedicaidOH

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
I20220404002689 IN Practitioner - Nurse Practitioner 9931595758 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011277AINMDNurse Practitioner
F10200747TXMDFamily 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. Nurse Practitioner CurrentSince Dec 1, 2023 Accepting new patients

Locations

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

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

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

702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1649878554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7314 MAEVE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468359204",
            "telephone_number": "260-440-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 S 13TH ST",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467331859",
            "telephone_number": "260-706-2013",
            "fax_number": "260-301-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORMISTON-LECLEAR",
        "first_name": "HEATHER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71011277A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F10200747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0044824",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IN

Sources for this page

Verify at the official NPI Registry.