Individual provider Active NPI

Sofia Jhoanna Paro, FNP

  • Family Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1922486083
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005479A Issued in IN
Practice address
4444 W State Road 46
Bloomington, IN 47404-2605
Phone
(812) 876-2915
NPI assigned
May 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71005479A IN Primary

Addresses

Primary practice location

4444 W State Road 46
Bloomington, IN 47404-2605

Mailing address

4444 W State Road 46
Bloomington, IN 47404-2605
Phone (812) 876-2915

Other practice location 1

2701 E 3rd St
Bloomington, IN 47401-5433
Phone (866) 389-2727

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717001693 IN Practitioner - Nurse Practitioner 1951614015 Reassigns benefits to 1 organization

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
Minuteclinic Diagnostics of Indiana LLCGroup PAC ID 3072548502, 121 clinicians

Practice addresses (Care Compare)

2423 N National Rd
Columbus, IN 47201-3733
Phone (866) 389-2727

2701 E 3Rd St
Bloomington, IN 47401-5433
Phone (866) 389-2727

5026 W US Hwy 52
New Palestine, IN 46163-9770
Phone (866) 389-2727

523 S State Rd
Suite 67
Mooresville, IN 46158-2792
Phone (866) 389-2727

9805 Geist Crossing Dr
Indianapolis, IN 46256-4819
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71005479AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Jul 13, 2015 Accepting new patients

Locations

2701 E 3rd St
Bloomington, IN 47401
Phone (812) 331-1419

4444 W State Road 46
Bloomington, IN 47404
Phone (812) 876-2915

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1922486083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 W STATE ROAD 46",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042605",
            "telephone_number": "812-876-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W STATE ROAD 46",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042605",
            "telephone_number": "812-876-2915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474015433",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARO",
        "first_name": "SOFIA",
        "middle_name": "JHOANNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-09",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005479A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.