Individual provider Active NPI

William Curtis Earnest V, FNP-C

  • Family Nurse Practitioner
  • Princeton, IN
National Provider Identifier
1699278309
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007845A Issued in IN
Practice address
410 N Main St
Princeton, IN 47670-1561
Phone
(812) 386-7522
NPI assigned
Mar 9, 2018
Last updated
Mar 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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 71007845A IN Primary

Addresses

Primary practice location

410 N Main St
Princeton, IN 47670-1561

Mailing address

801 W Elm St Apt G
Haubstadt, IN 47639-8104
Phone (601) 503-5938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180326002825 IN Practitioner - Nurse Practitioner 0547522823 Reassigns benefits to 2 organizations
I20260312001177 IL Practitioner - Nurse Practitioner 0547522823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71007845AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson General Hospital, Inc CurrentSince Oct 1, 2018 Accepting new patients
Gibson General Hospital Inc. CurrentSince Mar 18, 2018 Accepting new patients
Gibson General Hospital, Inc CurrentSince Mar 18, 2018 Accepting new patients

Locations

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

1808 Sherman Dr
Ste 2209
Princeton, IN 47670
Phone (812) 385-9420

410 N Main St
Princeton, IN 47670
Phone (812) 385-3329

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1699278309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W ELM ST APT G",
            "city": "HAUBSTADT",
            "state": "IN",
            "postal_code": "476398104",
            "telephone_number": "601-503-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701561",
            "telephone_number": "812-386-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARNEST",
        "first_name": "WILLIAM",
        "middle_name": "CURTIS",
        "name_prefix": "Mr.",
        "name_suffix": "V",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007845A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

Verify at the official NPI Registry.