Individual provider Active NPI

Marta Heshelman

  • Family Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1730540592
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28129108A Issued in IN
Practice address
3209 W Reddy Way Ste C
Bloomington, IN 47403-4089
Phone
(812) 825-6006
NPI assigned
Mar 8, 2016
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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 28129108A IN Primary

Addresses

Primary practice location

3209 W Reddy Way Ste C
Bloomington, IN 47403-4089

Mailing address

421 S Landmark Ave
Bloomington, IN 47403-5003
Phone (812) 332-4468

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
I20170511002195 IN Practitioner - Nurse Practitioner 0648557082 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
Monroe Medical Group IncGroup PAC ID 0446576680, 25 clinicians

Practice addresses (Care Compare)

421 S Landmark Ave
Bloomington, IN 47403-5003
Phone (812) 676-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.71 of 100Reported as group
Quality
56.86
Promoting interoperability
97
Improvement activities
40
Cost
81.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28129108AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Medical Group Inc CurrentSince Apr 6, 2017 Accepting new patients

Locations

3209 W Reddy Way
Ste C
Bloomington, IN 47403
Phone (812) 825-6006

421 S Landmark Ave
Bloomington, IN 47403
Phone (812) 332-4468

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8479/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marta.heshelman.1@8479.direct.athenahealth.com

Organizations & group practices 1

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 3

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": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1730540592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035003",
            "telephone_number": "812-332-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W REDDY WAY STE C",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034089",
            "telephone_number": "812-825-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESHELMAN",
        "first_name": "MARTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28129108A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.