Individual provider Active NPI

Jamie Porter Hersch, NP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1982112835
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28173544A Issued in IN
Practice address
7440 N Shadeland Ave Ste 150
Indianapolis, IN 46250-2095
Phone
(317) 842-4901
NPI assigned
Jan 12, 2018
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01180445 IN
Family Nurse Practitioner 363LF0000X 28173544A IN Primary

Addresses

Primary practice location

7440 N Shadeland Ave Ste 150
Indianapolis, IN 46250-2095

Mailing address

7440 N Shadeland Ave
Ste 150
Indianapolis, IN 46250-2095

Other practice location 1

2020 W 86th St Ste 307
Indianapolis, IN 46260-1931
Phone (317) 842-4901

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
I20180221001498 IN Practitioner - Nurse Practitioner 8426319179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Ear Institute, P.C.Group PAC ID 5698846293, 5 clinicians

Practice addresses (Care Compare)

7440 N Shadeland Ave
Suite 150
Indianapolis, IN 46250-2095
Phone (317) 842-4901

Merit-based Incentive Payment System (MIPS)

Final score
82.91 of 100Reported as group
Quality
68.76
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28173544AINMDFamily Nurse Practitioner
F01180445INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Ear Institute, P.C. CurrentSince Jan 21, 2018 Accepting new patients

Locations

2020 W 86th St
Ste 307
Indianapolis, IN 46260
Phone (317) 842-4901

7440 N Shadeland Ave
Ste 150
Indianapolis, IN 46250
Phone (317) 842-4901

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71563

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1982112835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 N SHADELAND AVE",
            "address_2": "STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 N SHADELAND AVE STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502095",
            "telephone_number": "317-842-4901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 W 86th St Ste 307",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601931",
            "country_code": "US",
            "telephone_number": "317-842-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSCH",
        "first_name": "JAMIE",
        "middle_name": "PORTER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F01180445",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28173544A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.