Individual provider Active NPI

Monique Marie Robinson, RN,NP-C

  • Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1952505869
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71002403A Issued in IN
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

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000523077OtherINBC/BS
28109346AOtherINRN LICENSE
200863010AMedicaidIN
71002403AOtherINNP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070911000651 IN Practitioner - Nurse Practitioner 0749373405 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28109346AINMDRegistered Nurse
71002403AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pic Indiana PC CurrentSince Jan 17, 2023 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.

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

Verify at the official NPI Registry.