Individual provider Active NPI

Danielle Hollenbeck

  • Family Nurse Practitioner
  • North Vernon, IN
National Provider Identifier
1659855310
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28216345A Issued in IN
Practice address
2070 N State Highway 3
North Vernon, IN 47265-7117
Phone
(812) 772-4380
NPI assigned
Sep 19, 2018
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28216345A IN Primary

Addresses

Primary practice location

2070 N State Highway 3
North Vernon, IN 47265-7117

Mailing address

6457 S Becks Grove Rd
Columbus, IN 47201-9443
Phone (402) 812-6085

Other practice location 1

1202 E Tipton St
Seymour, IN 47274-3540
Phone (812) 627-4933

Other practice location 2

1749 State Road 46 E
Nashville, IN 47448-9201
Phone (812) 720-3297

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
I20190509000051 IN Practitioner - Nurse Practitioner 3577805746 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

2070 N Hwy 3
North Vernon, IN 47265
Phone (812) 979-2136

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
My Mobile MD LLC CurrentSince Jul 2, 2021 Accepting new patients
FC Indiana, LLC CurrentSince Jan 2, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 2, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 2, 2024 Accepting new patients
Paradigm Living Concepts, LLC CurrentSince May 17, 2023 Accepting new patients
Paradigm Living Concepts, LLC CurrentSince May 17, 2023 Accepting new patients
FC Indiana, LLC CurrentSince Jan 2, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Proactive Mso, LLC Past Accepting new patients
5Health LLC Past Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

1159 W Jefferson St
Ste 204
Franklin, IN 46131

1317 N State St
Greenfield, IN 46140
Phone (317) 967-2167

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

429 E Vermont St
Ste 110
Indianapolis, IN 46202
Phone (765) 749-9871

8904 Bash St
Ste B
Indianapolis, IN 46256
Phone (317) 735-6001

2070 N State Highway 3
North Vernon, IN 47265
Phone (812) 772-4380

1202 E Tipton St
Seymour, IN 47274
Phone (812) 627-4933

Organizations & group practices 12

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.

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1659855310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6457 S BECKS GROVE RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472019443",
            "telephone_number": "402-812-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 N STATE HIGHWAY 3",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472657117",
            "telephone_number": "812-772-4380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 E Tipton St",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "IN",
            "postal_code": "472743540",
            "country_code": "US",
            "telephone_number": "812-627-4933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1749 State Road 46 E",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "IN",
            "postal_code": "474489201",
            "country_code": "US",
            "telephone_number": "812-720-3297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLENBECK",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28216345A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Vernon, IN

Sources for this page

Verify at the official NPI Registry.