Individual provider Active NPI

Nicole Danielle Poteet, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1831896471
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013600A Issued in IN
Practice address
404 E Washington St Ste a
Indianapolis, IN 46204-2609
Phone
(317) 963-2610
Fax
(317) 963-2615
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28236152A IN
Family Nurse Practitioner 363LF0000X 71013600A IN Primary

Addresses

Primary practice location

404 E Washington St Ste a
Indianapolis, IN 46204-2609

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

400 N Mount Zion Rd
Lebanon, IN 46052-9497
Phone (765) 335-0123

Other practice location 2

1801 N Senate Blvd Ste 230
Indianapolis, IN 46202-1252
Phone (317) 962-5820

Other identifiers 1

IdentifierTypeStateIssuer
300072210MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address npoteet@withamdirect.org Health Information Exchange (HIE) Witham Memorial Hospital
Direct Messaging Address npoteet@direct.iuhealth.org Direct
Direct Messaging Address npoteet@direct.iuhealth.org 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
I20230309000576 IN Practitioner - Nurse Practitioner 4082087259 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Witham Memorial HospitalGroup PAC ID 4082523170, 107 clinicians

Practice addresses (Care Compare)

1801 N Senate Blvd
Indianapolis, IN 46202-1228
Phone (317) 963-6492

2505 N Lebanon St
Lebanon, IN 46052-8613
Phone (765) 485-8830

400 N Mount Zion Rd
Lebanon, IN 46052-9497
Phone (765) 335-0123

6085 Heartland Dr
Zionsville, IN 46077-4433

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC Family CurrentSince May 1, 2025 Accepting new patients
Witham Memorial Hospital CurrentSince Feb 20, 2023 Accepting new patients
University Family Physicians, Inc. CurrentSince Aug 1, 2023 Accepting new patients
University Family Physicians, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Witham Memorial Hospital CurrentSince Feb 20, 2023 Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1801 Senate Blvd
Indianapolis, IN 46202
Phone (317) 929-8880

404 E Washington St
Ste A
Indianapolis, IN 46204
Phone (317) 963-2610

1801 Senate Blvd
Ste 230
Indianapolis, IN 46202
Phone (317) 962-5280

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

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

2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649

400 N Mount Zion Rd
Lebanon, IN 46052
Phone (765) 335-0123

2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000

6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134

Interoperability endpoints

  • Direct secure messaging: npoteet@direct.iuhealth.org

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.

Hospital & facility affiliations 2

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1831896471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E WASHINGTON ST STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042609",
            "telephone_number": "317-963-2610",
            "fax_number": "317-963-2615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Mount Zion Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "IN",
            "postal_code": "460529497",
            "country_code": "US",
            "telephone_number": "765-335-0123",
            "fax_number": "765-335-0127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 N Senate Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021252",
            "country_code": "US",
            "telephone_number": "317-962-5820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTEET",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28236152A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013600A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300072210",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npoteet@withamdirect.org",
            "affiliation": "Y",
            "affiliationName": "Witham Memorial Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "400 N Mount Zion Rd",
            "city": "Lebanon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460529497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npoteet@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "404 E Washington St Ste A",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462042609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npoteet@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1801 N Senate Blvd Ste 230",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.