Individual provider Active NPI

Linley Oneal

  • Family Nurse Practitioner
  • Plymouth, IN
National Provider Identifier
1982391389
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28229117A Issued in IN
Practice address
504 Colonial CT
Plymouth, IN 46563-1860
Phone
(574) 935-0127
NPI assigned
Apr 18, 2023
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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 28229117A IN Primary

Addresses

Primary practice location

504 Colonial CT
Plymouth, IN 46563-1860

Mailing address

504 Colonial CT
Plymouth, IN 46563-1860

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
I20241228000049 IN Practitioner - Nurse Practitioner 3577090794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians

Practice addresses (Care Compare)

1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 223-3141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28229117AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Kentucky PLLC Family CurrentSince Oct 27, 2024 Accepting new patients

Locations

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292

Interoperability endpoints

  • Direct secure messaging: linley.oneal.1@23284.direct.athenahealth.com
  • Direct secure messaging: loneal592890@direct.parkviewexchange.com

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.

Hospital & facility affiliations 2

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": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1982391389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 COLONIAL CT",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 COLONIAL CT",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631860",
            "telephone_number": "574-935-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEAL",
        "first_name": "LINLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28229117A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

Verify at the official NPI Registry.