Individual provider Active NPI

Michelle Eunjoo Ho, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1982213591
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010285A Issued in IN
Practice address
9560 E 59TH St
Indianapolis, IN 46216-1010
Phone
(317) 621-1700
Fax
(317) 621-1711
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28218204A IN
Family Nurse Practitioner 363LF0000X 35335 TN
Family Nurse Practitioner 363LF0000X 71010285A IN Primary

Addresses

Primary practice location

9560 E 59TH St
Indianapolis, IN 46216-1010

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

1112 N Main Ave
Erwin, TN 37650-1508
Phone (423) 560-6010

Other practice location 2

1317 N State St
Greenfield, IN 46140-1026
Phone (317) 967-2167

Other names 1

  • Michelle Eunjoo Cho Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TN2 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
I20200827003267 IN Practitioner - Nurse Practitioner 0749607372 Reassigns benefits to 3 organizations
I20240130000943 TN Practitioner - Nurse Practitioner 0749607372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
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)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

1112 N Main Ave
Erwin, TN 37650-1508
Phone (931) 253-1110

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28218204AINMDRegistered Nurse
71010285AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
FC Indiana, LLC CurrentSince Jul 24, 2020 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 12, 2023 Accepting new patients
FC Indiana, LLC CurrentSince Jul 24, 2020 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 19, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 12, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 19, 2022 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

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

1159 W Jefferson St
Ste 204
Franklin, IN 46131

1317 N State St
Greenfield, IN 46140
Phone (317) 967-2167

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

9560 E 59th St
Indianapolis, IN 46216
Phone (317) 377-1700

8205 E 56th St
Ste 100
Indianapolis, IN 46216
Phone (317) 562-4044

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

1112 N Main Ave
Erwin, TN 37650
Phone (423) 560-6010

2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1982213591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 E 59TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462161010",
            "telephone_number": "317-621-1700",
            "fax_number": "317-621-1711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 N Main Ave",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "TN",
            "postal_code": "376501508",
            "country_code": "US",
            "telephone_number": "423-560-6010",
            "fax_number": "423-560-6011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1317 N State St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "IN",
            "postal_code": "461401026",
            "country_code": "US",
            "telephone_number": "317-967-2167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "MICHELLE",
        "middle_name": "EUNJOO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-01-23",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28218204A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35335",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010285A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "CHO",
            "middle_name": "EUNJOO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.