Individual provider Active NPI

David John Phillips, FNP-BC

  • Family Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1700555810
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28133743A Issued in IN
Practice address
5901 E Jackson St
Muncie, IN 47303
Phone
(765) 468-6337
Fax
(765) 896-8186
NPI assigned
Sep 10, 2021
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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 28133743A IN Primary

Addresses

Primary practice location

5901 E Jackson St
Muncie, IN 47303

Mailing address

5091 E Jackson St
Muncie, IN 47303-4486
Phone (765) 468-6337

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
I20211130001759 IN Practitioner - Nurse Practitioner 3678963956 Reassigns benefits to 2 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
Central Indiana-Amg Specialty Hospital, LLCGroup PAC ID 5991960668, 9 clinicians

Practice addresses (Care Compare)

2401 W University Ave
FL 5
Muncie, IN 47303-3428
Phone (765) 751-5253

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28133743AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Current Accepting new patients
Cep America LLC CurrentSince Nov 1, 2022 Accepting new patients
Cep America LLC CurrentSince Nov 1, 2022 Accepting new patients
Central Indiana-Amg Specialty Hospital, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

801 N State St
Fl 3
Greenfield, IN 46140
Phone (317) 447-6789

2401 W University Ave
Fl 5
Muncie, IN 47303
Phone (765) 282-8797

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

101 La Rue France
Ste 500
Lafayette, LA 70508
Phone (337) 269-9566

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 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": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1700555810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5091 E JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034486",
            "telephone_number": "765-468-6337",
            "fax_number": "765-896-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "47303",
            "telephone_number": "765-468-6337",
            "fax_number": "765-896-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-10",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28133743A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.