Individual provider Active NPI

Katherine Martin

  • Clinical Social Worker
  • Rushville, IN
National Provider Identifier
1982773735
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1264 S State Road 3
Rushville, IN 46173-8509
Phone
(765) 932-7591
Fax
(765) 932-7576
NPI assigned
Nov 7, 2006
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1264 S State Road 3
Rushville, IN 46173-8509

Mailing address

1300 N Main St
Rushville, IN 46173-1116
Phone (765) 932-4111

Other identifiers 1

IdentifierTypeStateIssuer
100270530AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katherinemartin@rushmemorial.cernerdirect.com Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201005001813 IN Practitioner - Clinical Social Worker 4688093081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush Memorial HospitalGroup PAC ID 7012802754, 68 clinicians

Practice addresses (Care Compare)

201 Conrad Harcourt Way
Suite a
Rushville, IN 46173-1157
Phone (765) 932-7591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Memorial Hospital CurrentSince Jul 11, 2022 Accepting new patients
Rush Memorial Hospital CurrentSince Jul 11, 2022 Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

1264 S State Road 3
Rushville, IN 46173
Phone (765) 932-7010

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

201 Conrad Harcourt Way
Rushville, IN 46173
Phone (765) 932-7591

201 Harcourt Way
Ste A
Rushville, IN 46173
Phone (765) 932-7078

Interoperability endpoints

  • Direct secure messaging: katherinemartin@rushmemorial.cernerdirect.com

Organizations & group practices 3

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1982773735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731116",
            "telephone_number": "765-932-4111",
            "fax_number": "765-932-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 S STATE ROAD 3",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461738509",
            "telephone_number": "765-932-7591",
            "fax_number": "765-932-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270530A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherinemartin@rushmemorial.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Clinical Documents and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinical Documents and CCD Exchange",
            "address_1": "1264 S State Road 3",
            "city": "Rushville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461738509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rushville, IN

Sources for this page

Verify at the official NPI Registry.