Individual provider Active NPI

Laura Sparks, NP

  • Family Nurse Practitioner
  • Hanover, IN
National Provider Identifier
1972912376
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005027 Issued in IN
Practice address
4152 West State Road 56
Hanover, IN 47243
Phone
(812) 762-4510
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71005027 IN Primary

Addresses

Primary practice location

4152 West State Road 56
Hanover, IN 47243

Mailing address

PO Box 1258
Waynesboro, TN 38485-1258
Phone (931) 253-1110

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
I20140911000305 IN Practitioner - Nurse Practitioner 9032338728 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1202 E Tipton St
Seymour, IN 47274-3540
Phone (812) 672-4933

1312 E Hackberry St
Salem, IN 47167-9604
Phone (931) 253-1110

4152 W State Rd
Hanover, IN 47243-9070
Phone (901) 351-1791

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71005027INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Clark Physician Practices, LLC CurrentSince Aug 1, 2015 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 1, 2020 Accepting new patients
FC Indiana, LLC CurrentSince Jan 4, 2025 Accepting new patients
FC Indiana, LLC CurrentSince Jan 4, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 1, 2020 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Calcasieu Urgent Care LLC PastSince Jun 27, 2021 Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

11500 Highway 62
Charlestown, IN 47111
Phone (812) 256-0700

2205 Greentree N
Clarksville, IN 47129
Phone (812) 218-6560

1159 W Jefferson St
Ste 204
Franklin, IN 46131

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

301 Gordon Gutmann Blvd
Ste 101
Jeffersonville, IN 47130
Phone (812) 282-4844

207 Sparks Ave
Ste 301
Jeffersonvlle, IN 47130
Phone (812) 280-5894

1806 E 10th St
Jeffersonvlle, IN 47130
Phone (812) 285-5923

207 Sparks Ave
Ste 300
Jeffersonvlle, IN 47130
Phone (812) 218-7978

130 Hunter Station Way
Sellersburg, IN 47172
Phone (812) 246-4808

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1972912376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1258",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384851258",
            "telephone_number": "931-253-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 WEST STATE ROAD 56",
            "city": "HANOVER",
            "state": "IN",
            "postal_code": "47243",
            "telephone_number": "812-762-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "LAURA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, IN

Sources for this page

Verify at the official NPI Registry.