Active NPI
Nancy Hinds, FNP-C
- Family Nurse Practitioner
- Connersville, IN
National Provider Identifier
1992110969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71005065A
- Practice address
- 1475 E State Road 44
Connersville, IN 47331-8383 - Phone
- (765) 932-7591
- Fax
- (765) 932-7543
- NPI assigned
- Jun 27, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28188713A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71005065A | IN | Primary |
Addresses
Primary practice location
1475 E State Road 44
Connersville, IN 47331-8383
Mailing address
1100 Reid Parkway
Medical Staff Services
Richmond, IN 47374
Phone (765) 983-3127
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2012244370 - RPA | Medicaid | IN | |
| 0111351 - RPA | Medicaid | OH | |
| 000000890564 | Other | IN | ANTHEM - RPA |
| 71005065A | Other | IN | LICENSE NUMBER |
Other names 1
- Nancy Gilliam
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nhinds343351@ReidHealth.direct-ci.com | Reid Physician Associates, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28188713A | IN | MD | Family Nurse Practitioner |
| 71005065A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Rush Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- nhinds343351@reidhealth.direct-ci.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Rural Health Clinic/Center
- Rushville, IN
- NPI 1659935781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1992110969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 REID PARKWAY",
"address_2": "MEDICAL STAFF SERVICES",
"city": "RICHMOND",
"state": "IN",
"postal_code": "47374",
"telephone_number": "765-983-3127",
"fax_number": "765-983-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 E STATE ROAD 44",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "473318383",
"telephone_number": "765-932-7591",
"fax_number": "765-932-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINDS",
"first_name": "NANCY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-27",
"last_updated": "2021-05-25",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28188713A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71005065A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2012244370 - RPA",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0111351 - RPA",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - RPA",
"identifier": "000000890564",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "71005065A",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nhinds343351@ReidHealth.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Reid Physician Associates, Inc.",
"address_1": "1475 E State Road 44",
"city": "Connersville",
"state": "IN",
"country_code": "US",
"postal_code": "473318383",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NANCY",
"last_name": "GILLIAM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Connersville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.