Pallavi Reddy Muddasani Bhasyam, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71013615A Issued in IN

Practice address

299 E Pendleton Ave # 547
Lapel, IN 46051-5546

Phone

(765) 534-3636

Fax

(765) 534-3638

NPI assigned

Feb 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

85.82 of 100Reported as group

Quality

71.45

Promoting interoperability

100

Improvement activities

40

Cost

75.59

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8718/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.

• Wright Family Practice

  • Family Medicine Physician
  • Lapel, IN
  • NPI 1437573664

  IN, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1902503261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12286 WHISPERING BREEZE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374452",
            "telephone_number": "765-609-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 E PENDLETON AVE # 547",
            "city": "LAPEL",
            "state": "IN",
            "postal_code": "460515546",
            "telephone_number": "765-534-3636",
            "fax_number": "765-534-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDDASANI BHASYAM",
        "first_name": "PALLAVI REDDY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013615A",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "28254959A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Graves, DO
• John Hershberger, COTA
• Lapel Stony Creek Township Ambulance Service
• Lapel Stony Creek Township Fire
• Lapel Stony Creek Township Fire Protection Board, Inc.
• Cori Beth Odom
• Katie Lynn Elizabeth Pulis
• Mark E Seib
• Stoney Creek Township Madison County
• Tyler Wheeler, DDS

• All providers in Lapel, IN
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.

Verify at the official NPI Registry.