Active NPI
Gwyndolen Morson, NP
- Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71005921A
- Practice address
- 401 E 34TH St
Indianapolis, IN 46205-3754 - Phone
- (317) 926-1507
- Fax
- (317) 926-1508
- NPI assigned
- Oct 14, 2015
- Last updated
- Jul 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71005921A | IN | Primary |
| Registered Nurse | 163W00000X | 28203742A | IN |
Addresses
Primary practice location
401 E 34TH St
Indianapolis, IN 46205-3754
Mailing address
401 E 34TH St
Indianapolis, IN 46205-3754
Phone (317) 926-1507
Other names 1
- Gwyndolen Vicars
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1702 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 625-5100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28203742A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Professionals Community Health Center, Inc. | Current | Accepting new patients | |
| Valley Professionals Community Health Center, Inc. | Current | Accepting new patients | |
| St. Clare Medical Center | Past | Accepting new patients |
Locations
703 W Park St
Cayuga, IN 47928
Phone (765) 492-9042
777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003
1702 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-4400
727 N Lincoln Rd
Rockville, IN 47872
Phone (765) 569-1123
1530 N 7th St
Ste 201
Terre Haute, IN 47807
Phone (812) 238-7631
4757 S 7th St
Terre Haute, IN 47802
Phone (812) 234-2289
601 W National Ave
West Terre Haute, IN 47885
Phone (812) 244-1515
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Clinton, IN
- NPI 1104006253
-
- Federally Qualified Health Center (FQHC)
- Cayuga, IN
- NPI 1417284043
-
- Skilled Nursing Facility
- Crawfordsville, IN
- NPI 1508960535
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crawfordsville, IN
- NPI 1588774558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1871964023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E 34TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462053754",
"telephone_number": "317-926-1507",
"fax_number": "317-926-1508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E 34TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462053754",
"telephone_number": "317-926-1507",
"fax_number": "317-926-1508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORSON",
"first_name": "GWYNDOLEN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-14",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71005921A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28203742A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GWYNDOLEN",
"last_name": "VICARS",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.