Individual provider Active NPI

Jody Heim, PMHNP-BC

  • Psychiatric/Mental Health Registered Nurse
  • Muncie, IN
National Provider Identifier
1972203776
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
71013677A Issued in IN
Practice address
3700 W Kilgore Ave
Muncie, IN 47304-4810
Phone
(765) 289-5437
Fax
(765) 751-5269
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 71013677A IN Primary

Addresses

Primary practice location

3700 W Kilgore Ave
Muncie, IN 47304-4810

Mailing address

322 N County Road 25 W
New Castle, IN 47362-9702
Phone (765) 808-3025

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
I20240404003125 IN Practitioner - Nurse Practitioner 6305284647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians

Practice addresses (Care Compare)

152 Wittenbraker Ave
New Castle, IN 47362-5035
Phone (765) 599-2754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71013677AINMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Memorial Hospital Current Accepting new patients
Henry County Memorial Hospital CurrentSince Feb 24, 2024 Accepting new patients
Henry County Memorial Hospital CurrentSince Feb 24, 2024 Accepting new patients

Locations

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

152 Wittenbraker Ave
New Castle, IN 47362
Phone (765) 521-1483

152 Wittenbraker Ave
Ste 500
New Castle, IN 47362
Phone (765) 599-3100

Organizations & group practices 3

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1972203776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 N COUNTY ROAD 25 W",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473629702",
            "telephone_number": "765-808-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W KILGORE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044810",
            "telephone_number": "765-289-5437",
            "fax_number": "765-751-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIM",
        "first_name": "JODY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71013677A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.