Individual provider Active NPI

Rexanna Tatlock, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Seymour, IN
National Provider Identifier
1851877328
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71008415A Issued in IN
Practice address
225 S Pine St
Seymour, IN 47274-2365
Phone
(317) 887-7880
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71008415A IN Primary
Registered Nurse 163W00000X 28204653A IN

Addresses

Primary practice location

225 S Pine St
Seymour, IN 47274-2365

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

1116 N 16th St Ste A
Lafayette, IN 47904-2119
Phone (765) 448-8000

Other practice location 2

4035 Mimosa Dr
Columbus, IN 47201-7200
Phone (812) 375-6358

Other identifiers 2

IdentifierTypeStateIssuer
000001214853OtherINANTHEM PROVIDER NUMBER
300021975MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rtatlock@direct.iuhealth.org
Direct Messaging Address rtatlock36053@edirect.crh.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
I20181031003138 IN Practitioner - Nurse Practitioner 8022361468 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

4035 Mimosa Dr
Columbus, IN 47201-7200
Phone (317) 893-1900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28204653AINMDRegistered Nurse
71008415AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arnett Clinic, LLC Current Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Nov 1, 2021 Accepting new patients
Franciscan Physician Network CurrentSince Apr 19, 2024 Accepting new patients
Arnett Clinic, LLC CurrentSince Nov 19, 2018 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Nov 1, 2021 Accepting new patients
Franciscan Physician Network CurrentSince Apr 19, 2024 Accepting new patients
Arnett Clinic, LLC CurrentSince Nov 19, 2018 Accepting new patients
Major Hospital Past Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

4035 Mimosa Dr
Columbus, IN 47201
Phone (317) 706-2361

2325 18th St
Ste 130
Columbus, IN 47201
Phone (812) 379-2020

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

1116 N 16th St
Ste A
Lafayette, IN 47904

2600 Greenbush St
Lafayette, IN 47904

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

225 S Pine St
Seymour, IN 47274
Phone (812) 524-3330

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

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

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 6

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1851877328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S PINE ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742365",
            "telephone_number": "317-887-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 N 16th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479042119",
            "country_code": "US",
            "telephone_number": "765-448-8000",
            "fax_number": "765-838-4334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4035 Mimosa Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472017200",
            "country_code": "US",
            "telephone_number": "812-375-6358",
            "fax_number": "812-375-6373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATLOCK",
        "first_name": "REXANNA",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71008415A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28204653A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000001214853",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300021975",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtatlock@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1116 N 16th St Ste A",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479042119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtatlock36053@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "2325 18th St Ste 130",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.