Individual provider Active NPI

Nancy J Livingston, FNP-C

  • Family Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1780308932
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013110A Issued in IN
Practice address
121 N Pete Ellis Dr Ste 102
Bloomington, IN 47408-4487
Phone
(866) 434-3255
Fax
(833) 450-5430
NPI assigned
Sep 30, 2022
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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 71013110A IN Primary

Addresses

Primary practice location

121 N Pete Ellis Dr Ste 102
Bloomington, IN 47408-4487

Mailing address

121 N Pete Ellis Dr Ste 102
Bloomington, IN 47408-4487
Phone (866) 434-3255

Other names 1

  • Nancy Livingston Welty Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nancy.livingston@marathon.health 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
I20221122003060 IN Practitioner - Nurse Practitioner 1850769829 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71013110AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Dec 18, 2022 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Dec 18, 2022 Accepting new patients
Ourhealth Professional Physician Group, LLC CurrentSince Apr 13, 2025 Accepting new patients

Locations

121 N Pete Ellis Dr
Ste 102
Bloomington, IN 47408

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

995 S Clarizz Blvd
Bloomington, IN 47401
Phone (812) 353-3060

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

Interoperability endpoints

  • Direct secure messaging: nancy.livingston.1@14940.direct.athenahealth.com
  • Direct secure messaging: nlivingston@direct.iuhealth.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1780308932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N PETE ELLIS DR STE 102",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474084487",
            "telephone_number": "866-434-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N PETE ELLIS DR STE 102",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474084487",
            "telephone_number": "866-434-3255",
            "fax_number": "833-450-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "NANCY",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013110A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nancy.livingston@marathon.health",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "121 N Pete Ellis Dr Ste 102",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474084487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "WELTY",
            "middle_name": "LIVINGSTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.