Active NPI
Cheryl Davis-Land, ANP
- Adult Health Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 71000734A
- Practice address
- 6745 Gray Rd Ste D
Indianapolis, IN 46237-3236 - Phone
- (317) 859-1090
- Fax
- (317) 941-7254
- NPI assigned
- Jan 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71000734A | IN | |
| Adult Health Nurse Practitioner | 363LA2200X | 71000734A | IN | Primary |
Addresses
Primary practice location
6745 Gray Rd Ste D
Indianapolis, IN 46237-3236
Mailing address
PO Box 100
Beech Grove, IN 46107-0100
Phone (317) 859-1090
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110200160 | Other | IN | RAILROAD MEDICARE |
| 35-1994904 | Other | IN | TID |
| 28082714A | Other | IN | RN LICENSE |
| 000000007695 | Other | IN | M PLAN |
| 71000734B | Other | IN | CSR |
| 11478689 | Other | IN | CAQH |
| 200184580 | Medicaid | IN | |
| 000000545412 | Other | IN | ANTHEM |
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
- Indiana University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 W Market St
Suite 400
Indianapolis, IN 46204-2810
Phone (855) 743-2247
8398 Mississippi St
FL 2
Merrillville, IN 46410-6316
Phone (855) 743-2247
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000734A | IN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus Wholehealth Midwest Inc | Nurse Practitioner | Current | Accepting new patients |
| Eventus WH Midwest Care, LLC | Nurse Practitioner | Current | Accepting new patients |
| Eventus Ecs, Inc | Nurse Practitioner | Current | Accepting new patients |
| Eventus Ecs - Kentucky, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Extended Care Specialists, Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
2100 Midway St
Columbus, IN 47201
Phone 3178181240225
3512 Stellhorn Rd
Fort Wayne, IN 46815
3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479
150 W Market St
Ste 400
Indianapolis, IN 46204
8398 Mississippi St
Fl 2
Merrillville, IN 46410
Organizations & group practices 5
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.
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1073353496
-
- Adult Medicine Physician
- Merrillville, IN
- NPI 1134146079
Nurse Practitioner
-
- Family Medicine Physician
- Columbus, IN
- NPI 1386252757
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1740335702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "BEECH GROVE",
"state": "IN",
"postal_code": "461070100",
"telephone_number": "317-859-1090",
"fax_number": "317-941-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6745 GRAY RD STE D",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462373236",
"telephone_number": "317-859-1090",
"fax_number": "317-941-7254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS-LAND",
"first_name": "CHERYL",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71000734A",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "71000734A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110200160",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TID",
"identifier": "35-1994904",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "28082714A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M PLAN",
"identifier": "000000007695",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSR",
"identifier": "71000734B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11478689",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200184580",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000545412",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.