NPIMap

Individual provider Active NPI

Alyssa D Robinson, NURSE PRACTITIONER

  • Nurse Practitioner
  • Brownsburg, IN
National Provider Identifier
1891060760
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71003889A Issued in IN
Practice address
1080 N. Green Street
Suite 200
Brownsburg, IN 46112-2417
Phone
(317) 852-3851
Fax
(317) 852-1246
NPI assigned
Mar 12, 2012
Last updated
Oct 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71003889A IN Primary

Addresses

Primary practice location

1080 N. Green Street
Suite 200
Brownsburg, IN 46112-2417

Mailing address

1080 N. Green Street
Suite 200
Brownsburg, IN 46112-2417
Phone (317) 852-3851

Other identifiers 1

IdentifierTypeStateIssuer
201057820MedicaidIN

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
I20120402000493 IN Practitioner - Nurse Practitioner 1355501123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital IncGroup PAC ID 8426943614, 90 clinicians

Practice addresses (Care Compare)

1429 No 6TH St
Uap Medical Office Building
Terre Haute, IN 47807-1037
Phone (812) 232-0564

2133 S State Rd
Suite 46
Terre Haute, IN 47803-9781
Phone (812) 232-0564

221 S 6 TH St
Apands Clinic Downtown
Terre Haute, IN 47807-4214
Phone (812) 232-0564

221 S 6TH St
Terre Haute, IN 47807-4214

7500 State Rd
Suite 46
Riley, IN 47871
Phone (812) 894-2304

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003889AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital Inc CurrentSince Jan 19, 2015 Accepting new patients
Union Hospital, Inc. Nurse Practitioner Current Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Jan 19, 2015 Accepting new patients
Union Hospital, Inc. CurrentSince Jan 19, 2015 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Jan 19, 2015 Accepting new patients
Union Associated Physicians Clinic, LLC Past Accepting new patients
Union Hospital Inc. Nurse Practitioner Past Accepting new patients

Locations

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3105

5500 Wabash Ave
Terre Haute, IN 47803
Phone (812) 877-8367

Organizations & group practices 7

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 5

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": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1891060760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 N. GREEN STREET",
            "address_2": "SUITE 200",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122417",
            "telephone_number": "317-852-3851",
            "fax_number": "317-852-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N. GREEN STREET",
            "address_2": "SUITE 200",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122417",
            "telephone_number": "317-852-3851",
            "fax_number": "317-852-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ALYSSA",
        "middle_name": "D",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003889A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201057820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

Verify at the official NPI Registry.