Active NPI
Tara Simon, FNP
- Family Nurse Practitioner
- Greenwood, IN
National Provider Identifier
1972915338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71004978A
- Practice address
- 701 E County Line Rd
Suite 101
Greenwood, IN 46143-1072 - Phone
- (317) 885-2860
- Fax
- (317) 885-2869
- NPI assigned
- May 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71004978A | IN | Primary |
Addresses
Primary practice location
701 E County Line Rd
Suite 101
Greenwood, IN 46143-1072
Mailing address
701 E County Line Rd
Suite 101
Greenwood, IN 46143-1072
Phone (317) 885-2860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201247900 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct.indianainternalmedicine@ccme.com | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
701 E County Line Rd
Suite 101
Greenwood, IN 46143-1070
Phone (317) 885-2860
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Medical Group LLC | Current | Accepting new patients | |
| Indiana Internal Medicine Consultants, LLC. | Family | Current | Accepting new patients |
| St. Francis Medical Group, LLC | Family | Current | Accepting new patients |
| St. Francis Hospital and Health Centers | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
701 E County Line Rd
Ste 101
Greenwood, IN 46143
Phone (317) 885-2860
Interoperability endpoints
- direct.indianainternalmedicine@ccme.com
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.
-
- Internal Medicine Physician
- Greenwood, IN
- NPI 1609834357
Family
-
- Internal Medicine Physician
- Monroe, LA
- NPI 1134405087
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Urology Physician
- Indianapolis, IN
- NPI 1790937266
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
- General Acute Care Hospital
- Mooresville, IN
- NPI 1679678197
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1972915338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E COUNTY LINE RD",
"address_2": "SUITE 101",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431072",
"telephone_number": "317-885-2860",
"fax_number": "317-885-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E COUNTY LINE RD",
"address_2": "SUITE 101",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431072",
"telephone_number": "317-885-2860",
"fax_number": "317-885-2869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "TARA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-20",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71004978A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201247900",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct.indianainternalmedicine@ccme.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "701 E County Line Rd",
"address_2": "Suite 101",
"city": "Greenwood",
"state": "IN",
"country_code": "US",
"postal_code": "461431072",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.