Active NPI
Christina Lynn Fleck, FNP-BC
- Family Nurse Practitioner
- Lebanon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71012865A
- Practice address
- 416 W Camp St
Lebanon, IN 46052-1799 - Phone
- (765) 483-4469
- Fax
- (765) 483-4495
- NPI assigned
- Jun 20, 2022
- Last updated
- Oct 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71012865A | IN | Primary |
Addresses
Primary practice location
416 W Camp St
Lebanon, IN 46052-1799
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1716 Hartford St
Lafayette, IN 47904-2173
Phone (765) 742-1567
Other practice location 2
2121 S Gopher Dr BLDG
Frankfort, IN 46041-6800
Phone (765) 650-7875
Other practice location 3
253 Sagamore Pkwy W
Lafayette, IN 47906-1501
Phone (765) 448-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300066195 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cfleck@direct.iuhealth.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
151 E Bow St
Thorntown, IN 46071-1164
Phone (765) 436-2400
2505 N Lebanon St
Lebanon, IN 46052-8613
Phone (765) 485-8830
400 N Mount Zion Rd
Lebanon, IN 46052-9497
Phone (765) 335-0123
6085 Heartland Dr
Zionsville, IN 46077-4433
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71012865A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Witham Memorial Hospital | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Witham Memorial Hospital | Current | Accepting new patients | |
| Boone County Community Health Clinic, Inc | Current | Accepting new patients | |
| Riggs Community Health Center Inc | Past | Accepting new patients | |
| Witham Memorial Hospital | Past | Accepting new patients |
Locations
8016 Reliable Pkwy
Chicago, IL 60686
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
2600 Greenbush St
Lafayette, IN 47904
2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649
400 N Mount Zion Rd
Lebanon, IN 46052
Phone (765) 335-0123
416 W Camp St
Lebanon, IN 46052
Phone (765) 483-4469
151 E Bow St
Thorntown, IN 46071
Phone (765) 436-2400
253 Sagamore Pkwy W
West Lafayette, IN 47906
6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134
Interoperability endpoints
- cfleck@direct.iuhealth.org
Organizations & group practices 8
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.
-
dba Witham Health Services
- Family Medicine Physician
- Lebanon, IN
- NPI 1083750293
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Community Health Clinic/Center
- Lebanon, IN
- NPI 1962681734
-
dba Witham Rehabilitation Services, Anson at Whitestown
- Physical Therapist
- Zionsville, IN
- NPI 1952282204
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1386876233
-
dba Witham Health Services
- Clinical Medical Laboratory
- Lebanon, IN
- NPI 1558493767
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Witham Health Services
- General Acute Care Hospital
- Lebanon, IN
- NPI 1699757401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1720719990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 W CAMP ST",
"city": "LEBANON",
"state": "IN",
"postal_code": "460521799",
"telephone_number": "765-483-4469",
"fax_number": "765-483-4495"
}
],
"practiceLocations": [
{
"address_1": "1716 Hartford St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479042173",
"country_code": "US",
"telephone_number": "765-742-1567",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2121 S Gopher Dr BLDG",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "IN",
"postal_code": "460416800",
"country_code": "US",
"telephone_number": "765-650-7875",
"fax_number": "765-650-7803",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "253 Sagamore Pkwy W",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479061501",
"country_code": "US",
"telephone_number": "765-448-8000",
"fax_number": "765-448-8257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLECK",
"first_name": "CHRISTINA",
"middle_name": "LYNN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-20",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71012865A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300066195",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cfleck@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "253 Sagamore Pkwy W",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479061501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lebanon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.