Individual provider Active NPI

Nicole Rae Windell, APRN

  • Family Nurse Practitioner
  • Corydon, IN
National Provider Identifier
1710622758
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012630A Issued in IN
Practice address
1263 Hospital Dr NW Ste 250
Corydon, IN 47112-2176
Phone
(812) 738-4915
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28240035C IN
Student in an Organized Health Care Education/Training Program 390200000X IN
Family Nurse Practitioner 363LF0000X 71012630A IN Primary

Addresses

Primary practice location

1263 Hospital Dr NW Ste 250
Corydon, IN 47112-2176

Mailing address

PO Box 38
Corydon, IN 47112-0038
Phone (812) 738-4251

Other names 1

  • Nicole Rae Gerth Former name

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
I20220726002261 IN Practitioner - Nurse Practitioner 6507248309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrison County HospitalGroup PAC ID 9032007208, 45 clinicians

Practice addresses (Care Compare)

1263 Hospital Dr NW
Suite 250
Corydon, IN 47112-2176
Phone (812) 738-6245

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28240035CINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison County Hospital CurrentSince Jul 1, 2022 Accepting new patients
Harrison County Hospital CurrentSince Jul 1, 2022 Accepting new patients
Harrison County Hospital Family Past Accepting new patients
Harrison County Hospital Family Past Accepting new patients

Locations

1263 Hospital Dr NW
Ste 250
Corydon, IN 47112
Phone (812) 738-4915

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710622758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471120038",
            "telephone_number": "812-738-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 HOSPITAL DR NW STE 250",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122176",
            "telephone_number": "812-738-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDELL",
        "first_name": "NICOLE",
        "middle_name": "RAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28240035C",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012630A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GERTH",
            "middle_name": "RAE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.