Active NPI
Ann Michelle Webb, CFNP
- Primary Care Nurse Practitioner
- Rensselaer, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 71001896A
- Practice address
- 123 S McKinley Ave
Rensselaer, IN 47978-2949 - Phone
- (219) 866-1890
- NPI assigned
- Mar 22, 2006
- Last updated
- Nov 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 71001896A | IN | Primary |
Addresses
Primary practice location
123 S McKinley Ave
Rensselaer, IN 47978-2949
Mailing address
123 S McKinley Ave
Rensselaer, IN 47978-2949
Phone (219) 866-1890
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000372084 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200532880 | Medicaid | IN | |
| 9397732 | Other | IN | PHCS PID NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3851 N River Rd
West Lafayette, IN 47906-3762
Phone (765) 463-1502
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| Arnett Clinic, LLC | Past | Accepting new patients | |
| The Little Clinic of Indiana LLC | Past | Accepting new patients | |
| Arnett Clinic, LLC | Past | Accepting new patients |
Locations
3851 N River Rd
West Lafayette, IN 47906
Phone (765) 463-1502
3851 N River Rd
Ofc
West Lafayette, IN 47906
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.
-
dba Madison State Hospital
- Psychiatric Hospital
- Madison, IN
- NPI 1700876224
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Family Nurse Practitioner
- Jeffersonville, IN
- NPI 1811922792
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan St. Elizabeth Health
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1679532139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S MCKINLEY AVE",
"city": "RENSSELAER",
"state": "IN",
"postal_code": "479782949",
"telephone_number": "219-866-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S MCKINLEY AVE",
"city": "RENSSELAER",
"state": "IN",
"postal_code": "479782949",
"telephone_number": "219-866-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "ANN",
"middle_name": "MICHELLE",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IN",
"license": "71001896A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000372084",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200532880",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PID NUMBER",
"identifier": "9397732",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rensselaer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.