Active NPI
William John Fox, NURSE PRACTIONER
- Adult Health Nurse Practitioner
- Mishawaka, IN
National Provider Identifier
1760721807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 28114875A
- Practice address
- 1540 Trinity PL
Mishawaka, IN 46545-5006 - Phone
- (574) 272-9000
- Fax
- (574) 272-9305
- NPI assigned
- Feb 9, 2013
- Last updated
- Aug 27, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 28114875A | IN | Primary |
Addresses
Primary practice location
1540 Trinity PL
Mishawaka, IN 46545-5006
Mailing address
1540 Trinity PL
Mishawaka, IN 46545-5006
Phone (574) 272-9000
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160513000169 | IN | Order and Referring Only - Nurse Practitioner | 6800185943 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28114875A | IN | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1760721807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 TRINITY PL",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465455006",
"telephone_number": "574-272-9000",
"fax_number": "574-272-9305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 TRINITY PL",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465455006",
"telephone_number": "574-272-9000",
"fax_number": "574-272-9305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"credential": "NURSE PRACTIONER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-09",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "28114875A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mishawaka, IN
- FMS Nephrology Partners North Central Indiana Dialysis Centers, LLC (Fresenius Medical Care Nephrology Mishawaka Home)
- FMS Nephrology Partners North Central Indiana Dialysis Centers, LLC (Fresenius Medical Care Nephrology Mishawaka)
- Anthony Foggia, BC-HIS
- Rachel Ford, MSW,LCSW
- Elizabeth Fowler, NP
- Elyse Frame
- Franciscan Alliance, Inc
- Franciscan Physician Network (Franciscan Immediate Care)
- Taylor Freedline, FNP-BC
- Salena Nast Freeman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.