Active NPI
Monique Marie Robinson, RN,NP-C
- Nurse Practitioner
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71002403A
- Practice address
- 503 S Tillotson Ave
Muncie, IN 47304-4447 - Phone
- (765) 213-2234
- Fax
- (765) 282-5231
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28109346A | IN | |
| Nurse Practitioner | 363L00000X | 71002403A | IN | Primary |
Addresses
Primary practice location
503 S Tillotson Ave
Muncie, IN 47304-4447
Mailing address
503 S Tillotson Ave
Muncie, IN 47304-4447
Phone (765) 213-2234
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000523077 | Other | IN | BC/BS |
| 28109346A | Other | IN | RN LICENSE |
| 200863010A | Medicaid | IN | |
| 71002403A | Other | IN | NP LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28109346A | IN | MD | Registered Nurse |
| 71002403A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pic Indiana PC | Current | Accepting new patients | |
| Emgi-Ball, LLC | Past | Accepting new patients | |
| Open Door Health Services, Inc. | Past | Accepting new patients | |
| Comprehensive Pain and Spine Specialists LLC | Past | Accepting new patients | |
| Emergency Physicians of Delaware County, P.C. | Past | Accepting new patients |
Locations
123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305
3019 N National Rd
Columbus, IN 47201
Phone (812) 314-7617
1124 S 13th St
Decatur, IN 46733
Phone (260) 706-5039
900 Johnson St
#A
Elkhart, IN 46514
920 E Coliseum Blvd
Fort Wayne, IN 46805
Phone (260) 498-8077
924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056
4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582
102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224
630 Birk Rd
Martinsville, IN 46151
Phone (765) 341-2091
505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135
1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115
1245 E Ireland Rd
#B
South Bend, IN 46614
Phone (574) 312-7022
2680 Escalade Way
Warsaw, IN 46582
Phone (574) 306-4128
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Mishawaka, IN
- NPI 1942546890
-
- Interventional Pain Medicine Physician
- Muncie, IN
- NPI 1497426050
-
- Emergency Medicine Physician
- Muncie, IN
- NPI 1417956384
-
- Emergency Medicine Physician
- Muncie, IN
- NPI 1306072434
-
- Federally Qualified Health Center (FQHC)
- Hartford City, IN
- NPI 1245094028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1952505869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 S TILLOTSON AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473044447",
"telephone_number": "765-213-2234",
"fax_number": "765-282-5231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 S TILLOTSON AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473044447",
"telephone_number": "765-213-2234",
"fax_number": "765-282-5231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "MONIQUE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN,NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28109346A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71002403A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000000523077",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "28109346A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200863010A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "71002403A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.