Individual provider Active NPI

Eileen Dewire, NP

  • Nurse Practitioner
  • Rushville, IN
National Provider Identifier
1659825115
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71006533A Issued in IN
Practice address
323 Conrad Harcourt Way
Rushville, IN 46173-1116
Phone
(765) 932-7081
Fax
(765) 932-7582
NPI assigned
Aug 12, 2016
Last updated
Oct 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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 71006533A IN Primary
Hospice Registered Nurse 163WH1000X 28185741A IN

Addresses

Primary practice location

323 Conrad Harcourt Way
Rushville, IN 46173-1116

Mailing address

1300 N Main Street
Rushville, IN 46173-1116
Phone (765) 932-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106001609 IN Practitioner - Nurse Practitioner 5092071183 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28185741AINMDHospice Registered Nurse
71006533AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Medical PLLC CurrentSince Jan 30, 2024 Accepting new patients
Altea Medical Indiana PC CurrentSince Feb 26, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2350 Taft St
Gary, IN 46404
Phone (219) 944-2677

525 E Thompson Rd
Indianapolis, IN 46227
Phone (317) 745-5148

3518 S Lafountain St
#3803
Kokomo, IN 46902
Phone (765) 453-4667

1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211

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, 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": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1659825115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN STREET",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731116",
            "telephone_number": "765-932-4111",
            "fax_number": "765-932-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 CONRAD HARCOURT WAY",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731116",
            "telephone_number": "765-932-7081",
            "fax_number": "765-932-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWIRE",
        "first_name": "EILEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006533A",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "IN",
            "license": "28185741A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, IN

Sources for this page

Verify at the official NPI Registry.