Individual provider Active NPI

Elles Sanne Niessen

  • Family Nurse Practitioner
  • New Castle, IN
National Provider Identifier
1770079469
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008109A Issued in IN
Practice address
1000 N 16TH St Ste 250
New Castle, IN 47362
Phone
(765) 521-1217
Fax
(765) 521-1218
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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 71008109A IN Primary

Addresses

Primary practice location

1000 N 16TH St Ste 250
New Castle, IN 47362

Mailing address

PO Box 485
New Castle, IN 47362-0485
Phone (765) 521-1516

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eniessen@hcmh.cernerdirect.com 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806000600 IN Practitioner - Nurse Practitioner 8224386461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Castle Clinic IncGroup PAC ID 3274528757, 33 clinicians

Practice addresses (Care Compare)

1007 N 16TH St
New Castle, IN 47362-4320
Phone (765) 529-0780

Hospital & facility affiliations

  • Henry County Memorial Hospital Hospital, New Castle, IN, CCN 150030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Castle Clinic Inc CurrentSince Sep 1, 2018 Accepting new patients
New Castle Clinic Inc CurrentSince Sep 1, 2018 Accepting new patients
Heritage House of Richmond Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1007 N 16th St
New Castle, IN 47362
Phone (765) 284-4220

1000 N 16th St
Ste 250
New Castle, IN 47362
Phone (765) 521-1217

Interoperability endpoints

  • Direct secure messaging: eniessen@hcmh.cernerdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1770079469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620485",
            "telephone_number": "765-521-1516",
            "fax_number": "765-599-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N 16TH ST STE 250",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "47362",
            "telephone_number": "765-521-1217",
            "fax_number": "765-521-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIESSEN",
        "first_name": "ELLES",
        "middle_name": "SANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008109A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eniessen@hcmh.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 N 16th St Ste 250",
            "city": "New Castle",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

Verify at the official NPI Registry.