NPIMap

Individual provider Active NPI

Daniell M Summers, NP

  • Family Nurse Practitioner
  • Odon, IN
National Provider Identifier
1851810055
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28196995A Issued in IN
Practice address
202 N West St
Odon, IN 47562-1032
Phone
(812) 636-7300
NPI assigned
Sep 19, 2017
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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 28196995A IN Primary

Addresses

Primary practice location

202 N West St
Odon, IN 47562-1032

Mailing address

12546 E US Highway 50
Loogootee, IN 47553-5220
Phone (812) 295-5095

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daniellsummers@dchpm.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171115003402 IN Practitioner - Nurse Practitioner 2567728090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daviess County HospitalGroup PAC ID 1557271665, 67 clinicians

Practice addresses (Care Compare)

202 N W St
Odon, IN 47562-1032
Phone (812) 636-7300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28196995AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital Current Accepting new patients
Daviess County Hospital CurrentSince Nov 1, 2017 Accepting new patients
Daviess County Hospital CurrentSince Nov 1, 2017 Accepting new patients
Daviess County Hospital PastSince Jan 31, 2021 Accepting new patients

Locations

12546 E US Highway 50
Loogootee, IN 47553
Phone (812) 295-5095

202 N West St
Odon, IN 47562
Phone (812) 636-7300

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1851810055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12546 E US HIGHWAY 50",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475535220",
            "telephone_number": "812-295-5095",
            "fax_number": "812-295-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N WEST ST",
            "city": "ODON",
            "state": "IN",
            "postal_code": "475621032",
            "telephone_number": "812-636-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "DANIELL",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2021-01-29",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28196995A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniellsummers@dchpm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "202 N West St",
            "city": "Odon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475621032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Odon, IN

Sources for this page

Verify at the official NPI Registry.