Individual provider Active NPI

Brenda Dangler, NP

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1922192269
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001684 Issued in IN
Practice address
9805 Geist Crossing Dr
Indianapolis, IN 46256-4819
Phone
(317) 577-1353
NPI assigned
Oct 3, 2006
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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 71001684 IN Primary

Addresses

Primary practice location

9805 Geist Crossing Dr
Indianapolis, IN 46256-4819

Mailing address

1717 Chapman Dr
Greenfield, IN 46140-2528
Phone (317) 694-6784

Other practice location 1

1717 Chapman Dr
Greenfield, IN 46140-2528
Phone (317) 694-6784

Other practice location 2

10475 Crosspoint Blvd Ste 250
Indianapolis, IN 46256-3387
Phone (866) 949-0108

Other identifiers 1

IdentifierTypeStateIssuer
200495180MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930003261 IN Order and Referring Only - Nurse Practitioner 7517931843

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001684INMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ms_bdangler@landmarkhealth-direct.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1922192269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 CHAPMAN DR",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402528",
            "telephone_number": "317-694-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9805 GEIST CROSSING DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564819",
            "telephone_number": "317-577-1353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Chapman Dr",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "IN",
            "postal_code": "461402528",
            "country_code": "US",
            "telephone_number": "317-694-6784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10475 Crosspoint Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462563387",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANGLER",
        "first_name": "BRENDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-03-29",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200495180",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.