Active NPI
Charity J Holtsclaw
- Family Nurse Practitioner
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71011756A
- Practice address
- 3211 W Reddy Way
Bloomington, IN 47403-4066 - Phone
- (812) 825-0777
- Fax
- (812) 825-3917
- NPI assigned
- Oct 25, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71011756A | IN | Primary |
Addresses
Primary practice location
3211 W Reddy Way
Bloomington, IN 47403-4066
Mailing address
3211 W Reddy Way
Bloomington, IN 47403-4066
Phone (812) 825-0777
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
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3211 W Reddy Way
Bloomington, IN 47403-4066
421 S Landmark Ave
Bloomington, IN 47403-5003
Phone (812) 676-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011756A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Medical Group Inc | Current | Accepting new patients | |
| FC Indiana, LLC | Current | Accepting new patients | |
| FC Indiana, LLC | Current | Accepting new patients | |
| Harrison County Hospital | Current | Accepting new patients | |
| Harrison County Hospital | Current | Accepting new patients |
Locations
2418 16th St
Bedford, IN 47421
Phone (812) 278-3154
3211 W Reddy Way
Bloomington, IN 47403
Phone (812) 825-0777
421 S Landmark Ave
Bloomington, IN 47403
Phone (812) 332-4468
1263 Hospital Dr NW
Ste 250
Corydon, IN 47112
Phone (812) 738-4915
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
315 S Memorial Dr
New Castle, IN 47362
Phone (765) 518-8100
Interoperability endpoints
- charity.holtsclaw.1@8479.direct.athenahealth.com
- https://api.platform.athenahealth.com/8479/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Bloomington, IN
- NPI 1568627206
-
dba Harrison County Hospital Physicians
- Internal Medicine Physician
- Corydon, IN
- NPI 1790892727
-
- Rural Health Clinic/Center
- Bedford, IN
- NPI 1841911591
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corydon, IN
- NPI 1427165455
-
- Critical Access Hospital
- Corydon, IN
- NPI 1851378137
-
dba Monroe Hospital
- General Acute Care Hospital
- Bloomington, IN
- NPI 1740686443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1770247074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 W REDDY WAY",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474034066",
"telephone_number": "812-825-0777",
"fax_number": "812-825-3917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3211 W REDDY WAY",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474034066",
"telephone_number": "812-825-0777",
"fax_number": "812-825-3917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTSCLAW",
"first_name": "CHARITY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011756A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.