Cortney Hendress, NP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Greenwood, IN
NPI 1679964407 · NPPES record last updated Jan 12, 2016
Key facts
- NPI
- 1679964407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 71005347A (IN)
- Practice address
- 70 E Main St
Suite C
Greenwood, IN 46143-1393 - Phone
- (317) 969-7227
- NPI assigned
- Feb 16, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150527000583 | IN | Practitioner - Nurse Practitioner | 3870813256 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28169560A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus Ecs - Kentucky, PLLC | Current |
Accepting new patients | |
| Eventus WH Midwest Care, LLC | Current |
Accepting new patients | |
| Novenza Practice Group | Current |
Accepting new patients | |
| Eventus Ecs, Inc | Current |
Accepting new patients |
Locations
70 E Main St
Ste C
Greenwood, IN 46143
Phone (317) 969-7227
1200 N State Road 135
Greenwood, IN 46142
Phone (317) 300-2200
3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479
150 W Market St
Ste 400
Indianapolis, IN 46204
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DIFJDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 71005347A | IN | Yes |
| Registered Nurse | 163W00000X | 28169560A | IN |
Addresses
Primary practice location
70 E Main St
Suite C
Greenwood, IN 46143-1393
Mailing address
70 E Main St
Suite C
Greenwood, IN 46143-1393
Phone (317) 969-7227
Other providers in Greenwood, IN
- Peyton Riley Helton
- Jonathan E Helvie
- Robin Hemrick
- Bradley Henderson
- Madison Hendley
- Monica Hendricks
- Rita A Hendricks
- Grace Christine Hendrickson
- Natalie Hendrix-Evans
- Christine Hendrix
All providers in Greenwood, IN · Adult Health Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.