Individual provider Active NPI

Michelle C Ziegler, BSN, MSN, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1811491491
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71008124A Issued in IN
Practice address
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone
(317) 338-2345
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2010025351 MO
Gerontology Nurse Practitioner 363LG0600X 71008124A IN Primary

Addresses

Primary practice location

2001 W 86TH St
Indianapolis, IN 46260-1902

Mailing address

2001 W 86TH St
Indianapolis, IN 46260-1902

Other practice location 1

13345 Illinois St
Carmel, IN 46032-3318
Phone (317) 396-1300

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address michelle.ziegleragpcnp.p1@direct.goodmancampbell.nextgenshare.com Health Information Exchange (HIE)
Direct Messaging Address michelle.ziegler.1@7598.direct.athenahealth.com ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER

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
I20180904003518 IN Practitioner - Nurse Practitioner 2264782788 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2010025351MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Oct 26, 2021 Accepting new patients
University Family Physicians, Inc. CurrentSince Sep 1, 2019 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Nurse Practitioner CurrentSince Oct 26, 2021 Accepting new patients
University Family Physicians, Inc. CurrentSince Sep 1, 2019 Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

555 E County Line Rd
Ste 202
Greenwood, IN 46143
Phone (317) 396-1406

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8333 Naab Rd
Ste 250
Indianapolis, IN 46260
Phone (317) 338-5100

355 W 16th St
Ste 5100
Indianapolis, IN 46202
Phone (317) 963-8145

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

Interoperability endpoints

  • Direct secure messaging: michelle.ziegler.1@7598.direct.athenahealth.com
  • Direct secure messaging: michelle.ziegler.p1@direct.goodmancampbell.nextgenshare.com
  • Direct secure messaging: mziegler531137@direct.franciscanalliance.org
  • Direct secure messaging: michelle.ziegleragpcnp.p1@direct.goodmancampbell.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1811491491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601902",
            "telephone_number": "317-338-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13345 Illinois St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323318",
            "country_code": "US",
            "telephone_number": "317-396-1300",
            "fax_number": "317-352-3417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "MICHELLE",
        "middle_name": "C",
        "credential": "BSN, MSN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2010025351",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71008124A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.ziegleragpcnp.p1@direct.goodmancampbell.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "13345 Illinois St",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460323318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.ziegler.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER",
            "address_1": "2001 W 86th St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462601902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.