Individual provider Active NPI

Tina Delph, NP

  • Nurse Practitioner
  • Mooresville, IN
National Provider Identifier
1962576074
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71000657A Issued in IN
Practice address
1001 Hadley Rd Ste 101
Mooresville, IN 46158-1884
Phone
(317) 781-7344
Fax
(317) 834-3779
NPI assigned
Nov 20, 2006
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 71000657A IN Primary

Addresses

Primary practice location

1001 Hadley Rd Ste 101
Mooresville, IN 46158-1884

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

1205 Hadley Rd Ste 220
Mooresville, IN 46158-1737
Phone (317) 781-7344

Other practice location 2

1402 E County Line Rd
Indianapolis, IN 46227-0963
Phone (317) 887-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tdelph4005@Direct.FranciscanAlliance.org Direct

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
I20040618000543 IN Practitioner - Nurse Practitioner 7719962430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1001 Hadley Rd
Mooresville, IN 46158-1883

150 W Washington St
Shelbyville, IN 46176-1236
Phone (317) 865-5904

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Jan 1, 2012 Accepting new patients
Franciscan Physician Network CurrentSince Jan 1, 2012 Accepting new patients
Southside Emergency Associates Past Accepting new patients
St. Francis Medical Group, LLC Past Accepting new patients
Clarence H Thomas MD LLC Past Accepting new patients
Emergency Physicians of Indianapolis, PC Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

5330 E Stop 11 Rd
Indianapolis, IN 46237
Phone (317) 893-1920

7855 S Emerson Ave
Ste P
Indianapolis, IN 46237
Phone (317) 781-7343

1001 Hadley Rd
Ste 101
Mooresville, IN 46158
Phone (317) 781-7344

1201 Hadley Rd
Mooresville, IN 46158
Phone (317) 783-8148

1205 Hadley Rd
Ste 220
Mooresville, IN 46158
Phone (317) 781-7344

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: tdelph4005@direct.franciscanalliance.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1962576074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HADLEY RD STE 101",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581884",
            "telephone_number": "317-781-7344",
            "fax_number": "317-834-3779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Hadley Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "IN",
            "postal_code": "461581737",
            "country_code": "US",
            "telephone_number": "317-781-7344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1402 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462270963",
            "country_code": "US",
            "telephone_number": "317-887-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELPH",
        "first_name": "TINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000657A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdelph4005@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7855 S Emerson Ave STE P",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462371737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

Verify at the official NPI Registry.