Individual provider Active NPI

Lindsay P Gamble, FNP-C

  • Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1720636475
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28175558A Issued in IN
Practice address
4320 S 7TH St
Terre Haute, IN 47802-4301
Phone
(812) 917-0047
Fax
(812) 917-0051
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 28175558A IN Primary

Addresses

Primary practice location

4320 S 7TH St
Terre Haute, IN 47802-4301

Mailing address

4320 S 7TH St
Terre Haute, IN 47802-4301
Phone (812) 917-0047

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
I20191017000231 IN Practitioner - Nurse Practitioner 8527399856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Terre Haute, LLCGroup PAC ID 8820424294, 3 clinicians

Practice addresses (Care Compare)

4320 S 7TH St
Terre Haute, IN 47802-4301
Phone (812) 917-0047

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28175558AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Terre Haute Pulmonary & Pediatric Clinic, LLC Multi-Specialty CurrentSince Sep 4, 2019 Accepting new patients
Terre Haute Pulmonary & Pediatric Clinic, LLC Multi-Specialty CurrentSince Sep 4, 2019 Accepting new patients
Medical Associates of Terre Haute, LLC Multi-Specialty CurrentSince Feb 1, 2020 Accepting new patients

Locations

1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556

4525 S Springhill Jct
Terre Haute, IN 47802
Phone 8122346053255

4320 S 7th St
Terre Haute, IN 47802
Phone (812) 299-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBHACD

Organizations & group practices 3

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 7

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1720636475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024301",
            "telephone_number": "812-917-0047",
            "fax_number": "812-917-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024301",
            "telephone_number": "812-917-0047",
            "fax_number": "812-917-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "LINDSAY",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28175558A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.