Individual provider Active NPI

Emily J Payne, FNP

  • Family Nurse Practitioner
  • Clinton, IN
National Provider Identifier
1679288799
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013496A Issued in IN
Practice address
819 S 3Rd St
Clinton, IN 47842-2205
Phone
(765) 832-2464
Fax
(765) 832-1638
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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 71013496A IN Primary

Addresses

Primary practice location

819 S 3Rd St
Clinton, IN 47842-2205

Mailing address

PO Box 266
Clinton, IN 47842-0266
Phone (765) 832-9301

Other practice location 1

503 Anderson St
Rockville, IN 47872-1099
Phone (765) 569-3182

Other identifiers 1

IdentifierTypeStateIssuer
71013496AOtherINSTATE LICENSE

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
I20230310000959 IN Practitioner - Nurse Practitioner 9133592272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital IncGroup PAC ID 8426943614, 90 clinicians

Practice addresses (Care Compare)

1606 N 7TH St
Terre Haute, IN 47804-2706

503 E Anderson
Rockville, IN 47872-1008
Phone (765) 569-3182

819 S 3Rd St
Clinton, IN 47842-2205
Phone (765) 832-2464

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71013496AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital, Inc. CurrentSince Sep 3, 2024 Accepting new patients
Union Hospital, Inc. CurrentSince Sep 3, 2024 Accepting new patients
Union Hospital Inc Past Accepting new patients
Union Hospital Inc. Past Accepting new patients

Locations

819 S 3rd St
Clinton, IN 47842
Phone (765) 822-2464

503 Anderson St
Rockville, IN 47872
Phone (317) 832-2464

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Organizations & group practices 4

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 6

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1679288799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478420266",
            "telephone_number": "765-832-9301",
            "fax_number": "765-832-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 S 3RD ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422205",
            "telephone_number": "765-832-2464",
            "fax_number": "765-832-1638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Anderson St",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "IN",
            "postal_code": "478721099",
            "country_code": "US",
            "telephone_number": "765-569-3182",
            "fax_number": "765-832-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "EMILY",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013496A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "71013496A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IN

Sources for this page

Verify at the official NPI Registry.