Courtney N Bumbalough, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F07180702 Issued in IN

Practice address

2445 Directors Row Ste C
Indianapolis, IN 46241-4936

Phone

(317) 941-7338

Fax

(317) 969-6727

NPI assigned

Aug 15, 2018

Last updated

Jul 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Clinical Partners - AcoGroup PAC ID 5890154884, 30 clinicians

Proactive Clinical PartnersGroup PAC ID 8527315852, 32 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

76.42 of 100Reported as apm

Quality

55.23

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Proactive Clinical Partners

  • Gerontology Nurse Practitioner
  • Indianapolis, IN
  • NPI 1366934242
  Medicare reassignment Care Compare group NPD
• Proactive Clinical Partners - Aco

  • Geriatric Medicine (Internal Medicine) Physician
  • Indianapolis, IN
  • NPI 1821709031
  Medicare reassignment Care Compare group NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  IN

  Medicare reassignment NPD
• Affinity Mental Health Services PC

  • Clinical Social Worker
  • Avon, IN
  • NPI 1770128050
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1952881435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 DIRECTORS ROW STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462414936",
            "telephone_number": "317-941-7338",
            "fax_number": "317-969-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 DIRECTORS ROW STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462414936",
            "telephone_number": "317-941-7338",
            "fax_number": "317-969-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMBALOUGH",
        "first_name": "COURTNEY",
        "middle_name": "N",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F07180702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Bullock, LMHC, CSAYC
• Tamara Latrice Bullock
• Theresa Alice Bullock, M.S.W.
• Brenda A Bullocks-Fox
• Karen L. Bumb, MD
• Dennis Michael Bumgarner, L.C.S.W.
• Angel Renee Bumphus
• Lori Bumps, RN
• Jade Bumpus, RBT
• Gina Bunch

• Family Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.