Active NPI
Terri Renae Eldridge, NPC
- Family Nurse Practitioner
- Coldwater, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28157166A
- 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, 2015
- 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 | 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28157166A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Care Group, P.C. | Current | Accepting new patients | |
| Diagnostic Pathology, LLC | Current | Accepting new patients | |
| Mercer County Joint Township Community Hospital | Current | Accepting new patients | |
| Mercer County Joint Township Community Hospital | Current | Accepting new patients | |
| Wound Care Consultants LLC | Family | Past | 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.
-
dba Mercer Health
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
-
- Anatomic Pathology & Clinical Pathology Physician
- Coldwater, OH
- NPI 1366639197
-
dba mercer health medical equipment
- Durable Medical Equipment & Medical Supplies
- Coldwater, OH
- NPI 1609963198
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercer Health
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.