Emily Elizabeth Musgrave, DO
Individual provider Active NPI Family Medicine Physician · Pendleton, IN
NPI 1750545786 · NPPES record last updated Jul 27, 2022
Key facts
- NPI
- 1750545786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02004492A (IN)
- Practice address
- 3041 W US Highway 36
Pendleton, IN 46064-9280 - Phone
- (765) 778-0000
- NPI assigned
- Jul 18, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Medical Group Inc
Practice addresses (Care Compare)
250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317
3041 W US Hwy 36
Pendleton, IN 46064-9280
Phone (765) 778-0000
8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600
Hospital & facility affiliations
- Ascension at Home
- Ascension St Vincent Anderson
- Community Hospital of Anderson and Madison County
- Ascension St Vincent Fishers
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140916001757 | IN | Practitioner - Family Practice | 1355523101 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- emily.musgrave.1@7598.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036126552 | IL | |
| Family Medicine Physician | 207Q00000X | 02004492A | IN | Yes |
Addresses
Primary practice location
3041 W US Highway 36
Pendleton, IN 46064-9280
Mailing address
3041 W US Highway 36
Pendleton, IN 46064-9280
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201248500 | Medicaid | IN | |
| 036126552 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emily.musgrave.1@7598.direct.athenahealth.com | St. Vincent Medical Group, Inc. |
Other providers in Pendleton, IN
- April Mitchell
- Brianna Moffett
- Rebecca M Morris
- MP Transportation LLC
- Moriah Eve Mroz
- Patrick Mwonya
- Jennifer A Neise
- Kayla E Newby
- Scott Newkirk
- Asa Marie Niedbalski
All providers in Pendleton, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.