Individual provider Active NPI

Rebecca Land, FNP-C

  • Family Nurse Practitioner
  • Columbus, IN
National Provider Identifier
1790325504
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01200420 Issued in IN
Practice address
1520 Wrenwood Dr
Columbus, IN 47201-8457
Phone
(812) 581-7450
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 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 F01200420 IN Primary

Addresses

Primary practice location

1520 Wrenwood Dr
Columbus, IN 47201-8457

Mailing address

PO Box 2592
Columbus, IN 47202-2592
Phone (812) 581-7450

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
I20220328000213 IN Practitioner - Nurse Practitioner 0547655664 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abode Care Partners Al VB LLCGroup PAC ID 1658403704, 48 clinicians
SHC Medical Partners of Indiana, LLCGroup PAC ID 4284851007, 8 clinicians
Abode Care Partners LTC VB LLCGroup PAC ID 8325316516, 81 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians

Practice addresses (Care Compare)

11595 N Meridian St
Suite 515
Carmel, IN 46032-6969
Phone (502) 394-2100

8398 Mississippi St
FL 2
Merrillville, IN 46410-6316
Phone (855) 743-2247

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F01200420INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abode Care Partners LTC VB, LLC CurrentSince Oct 21, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Oct 21, 2024 Accepting new patients
SHC Medical Partners of Indiana, LLC CurrentSince Jan 18, 2025 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Oct 21, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Oct 21, 2024 Accepting new patients
FC Indiana, LLC CurrentSince Jul 10, 2023 Accepting new patients
Extended Care Specialists, Inc Family CurrentSince Mar 11, 2022 Accepting new patients
FC Indiana, LLC CurrentSince Jul 10, 2023 Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

11595 N Meridian St
Ste 515
Carmel, IN 46032
Phone (317) 983-1716

2100 Midway St
Columbus, IN 47201
Phone 3178181240225

3512 Stellhorn Rd
Fort Wayne, IN 46815

8398 Mississippi St
Fl 2
Merrillville, IN 46410

5801 W Bethel Ave
Muncie, IN 47304
Phone (765) 288-2155

3500 Maple Ave
Terre Haute, IN 47804
Phone (812) 238-1555

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 8

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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1790325504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2592",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472022592",
            "telephone_number": "812-581-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 WRENWOOD DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018457",
            "telephone_number": "812-581-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F01200420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.