Individual provider Active NPI

Terri Renae Eldridge, NPC

  • Family Nurse Practitioner
  • Coldwater, OH
National Provider Identifier
1982078465
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28157166A Issued in IN
Practice address
800 W Main St
Coldwater, OH 45828-1613
Phone
(260) 344-4035
Fax
(260) 969-9272
NPI assigned
Nov 20, 2015
Last updated
Nov 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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 28157166A IN Primary

Addresses

Primary practice location

800 W Main St
Coldwater, OH 45828-1613

Mailing address

6435 W Jefferson Blvd
PMB 109
Fort Wayne, IN 46804-6203
Phone (260) 344-4035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160331001905 OH Practitioner - Nurse Practitioner 8325345606 Reassigns benefits to 2 organizations
I20170515000849 IN Practitioner - Nurse Practitioner 8325345606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Care Group PCGroup PAC ID 7416107487, 29 clinicians

Practice addresses (Care Compare)

800 W Main St
Coldwater, OH 45828-1613
Phone (419) 678-2341

835 Sweitzer St
Greenville, OH 45331-1007
Phone (260) 344-4035

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28157166AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Care Group, P.C. CurrentSince Jul 1, 2017 Accepting new patients
Diagnostic Pathology, LLC Current Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Feb 8, 2016 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Feb 8, 2016 Accepting new patients
Wound Care Consultants LLC Family PastSince Apr 1, 2019 Accepting new patients

Locations

303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875

702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000

23250 Chagrin Blvd
Ste 450
Beachwood, OH 44122
Phone (216) 402-0027

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

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, 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": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1982078465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 W JEFFERSON BLVD",
            "address_2": "PMB 109",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046203",
            "telephone_number": "260-344-4035",
            "fax_number": "260-969-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281613",
            "telephone_number": "260-344-4035",
            "fax_number": "260-969-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "TERRI",
        "middle_name": "RENAE",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28157166A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, OH

Sources for this page

Verify at the official NPI Registry.