Tania Yessica Valencia Cornejo
Individual provider Active NPI Family Nurse Practitioner · Austin, IN
NPI 1780488205 · NPPES record last updated Apr 28, 2026
Key facts
- NPI
- 1780488205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71016503A (IN)
- Practice address
- 25 W Main St
Austin, IN 47102-1303 - Phone
- (812) 794-8100
- Fax
- (812) 794-8200
- NPI assigned
- Apr 3, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Well Care Community Health Inc
Practice addresses (Care Compare)
25 W Main St
Foundations Family Medicine
Austin, IN 47102-1303
Phone (812) 794-8100
Hospital & facility affiliations
- Norton Scott Hospital
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250702003903 | IN | Practitioner - Nurse Practitioner | 2668985540 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71016503A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Care Community Health, Inc. | Current |
Accepting new patients | |
| Well Care Community Health, Inc. | Current |
Accepting new patients |
Locations
25 W Main St
Austin, IN 47102
Phone (812) 252-9020
203 E Main St
Richmond, IN 47374
Phone (765) 973-9294
2200 W Main St
Richmond, IN 47374
Phone (765) 973-9294
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71016503A | IN | Yes |
Addresses
Primary practice location
25 W Main St
Austin, IN 47102-1303
Mailing address
2200 W Main St
Richmond, IN 47374-3882
Phone (765) 973-9294
Other providers in Austin, IN
- Scott County Chiropractic Center, P.S.C.
- Scott County School Corporation District No.1
- Stewart'S Pharmacy, Inc.
- Nancy Thomas
- Brett E Usher
- Oscar Valencia
- Well Care Community Health RX, LLC
- Well Care Community Health, Inc.
- Well Care Community Health, Inc.
- Jeffrey Lynn Wells
All providers in Austin, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2026. 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.