Paulette I Worcester, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71000692A Issued in IN

Practice address

950 N Market St
Union County Medical Center
Liberty, IN 47353-8496

Phone

(765) 458-5191

Fax

(765) 458-7301

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pworcester301394@ecommunitydirect.com
• FHIR API: https://api.platform.athenahealth.com/21036/brand/1/csg/1/fhir/r4

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.

• Neighborhood Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richmond, IN
  • NPI 1679086888

  Family

  Medicare reassignment NPD
• Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Connersville, IN
  • NPI 1538894514
  NPD
• Neighborhood Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Liberty, IN
  • NPI 1578116729
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1891764593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-8802",
            "fax_number": "765-983-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N MARKET ST",
            "address_2": "UNION COUNTY MEDICAL CENTER",
            "city": "LIBERTY",
            "state": "IN",
            "postal_code": "473538496",
            "telephone_number": "765-458-5191",
            "fax_number": "765-458-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORCESTER",
        "first_name": "PAULETTE",
        "middle_name": "I",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.04953-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000692A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200360880",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000681077",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pworcester301394@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "REID HOSPITAL & HEALTH CARE SERVICES, INC",
            "address_1": "950 N Market St",
            "address_2": "Union County Medical Center",
            "city": "Liberty",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473538496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric Louis Underwood, PHARMD
• Union County Auditor
• Union County College Corner Joint School District
• Union County Council on Aging and Aged,Inc.
• Amanda Westrich

• Family Nurse Practitioner in Liberty, IN
• Providers in Liberty, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.