Individual provider Active NPI

Jennifer Rachelle Radice, M.S.N., F.N.P.-C

  • Family Nurse Practitioner
  • Corydon, IN
National Provider Identifier
1659345239
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001559A Issued in IN
Practice address
1263 Hospital Dr NW Ste 280
Corydon, IN 47112-2174
Phone
(812) 738-3086
NPI assigned
Feb 13, 2006
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN260019 GA
Nurse Practitioner 363L00000X 71001559A IN
Family Nurse Practitioner 363LF0000X 71001559A IN Primary

Addresses

Primary practice location

1263 Hospital Dr NW Ste 280
Corydon, IN 47112-2174

Mailing address

PO Box 7
Corydon, IN 47112-0007
Phone (812) 738-3086

Other practice location 1

1314 E Walnut St
Washington, IN 47501-2860
Phone (812) 254-2760

Other practice location 2

1141 Hospital Dr NW
Corydon, IN 47112-2164
Phone (812) 764-5322

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
I20061214000088 IN Practitioner - Nurse Practitioner 0143229401 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrison County HospitalGroup PAC ID 9032007208, 45 clinicians

Practice addresses (Care Compare)

1995 Edsel LN NW
After Hours Care
Corydon, IN 47112-3008
Phone (812) 738-1899

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN260019GAMDNurse Practitioner
71001559AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital Current Accepting new patients
North Indiana Emergency Physicians, LLP Nurse Practitioner CurrentSince Aug 1, 2019 Accepting new patients
Daviess County Hospital CurrentSince May 1, 2021 Accepting new patients
Harrison County Hospital Nurse Practitioner CurrentSince Aug 21, 2024 Accepting new patients
Daviess County Hospital CurrentSince May 1, 2021 Accepting new patients
Harrison County Hospital CurrentSince Aug 21, 2024 Accepting new patients
Harrison County Hospital Current Accepting new patients
Harrison County Hospital Past Accepting new patients
Doctor Contract Services, LLC Family PastSince Jul 28, 2019 Accepting new patients
Harrison County Hospital Family Past Accepting new patients
Harrison County Hospital Nurse Practitioner Past Accepting new patients
Harrison County Hospital Family Past Accepting new patients
Roundhouse Emergency Physicians LLC Nurse Practitioner PastSince Sep 15, 2019 Accepting new patients
Emergency Physicians Inc of Columbus Past Accepting new patients

Locations

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1263 Hospital Dr NW
Ste 200
Corydon, IN 47112
Phone (812) 734-3737

1263 Hospital Dr NW
Ste 250
Corydon, IN 47112
Phone (812) 738-4915

1263 Hospital Dr NW
Ste 280
Corydon, IN 47112
Phone (812) 738-3086

1995 Edsel Ln NW
Corydon, IN 47112
Phone (502) 572-0802

245 Atwood St
Corydon, IN 47112
Phone (812) 734-0912

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1659345239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471120007",
            "telephone_number": "812-738-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 HOSPITAL DR NW STE 280",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122174",
            "telephone_number": "812-738-3086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IN",
            "postal_code": "475012860",
            "country_code": "US",
            "telephone_number": "812-254-2760",
            "fax_number": "812-254-9031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1141 Hospital Dr NW",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IN",
            "postal_code": "471122164",
            "country_code": "US",
            "telephone_number": "812-764-5322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADICE",
        "first_name": "JENNIFER",
        "middle_name": "RACHELLE",
        "credential": "M.S.N., F.N.P.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN260019",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001559A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001559A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.