Debra Hermann
Individual provider Active NPI Family Nurse Practitioner · Bloomington, IN
NPI 1992345201 · NPPES record last updated Mar 14, 2024
Key facts
- NPI
- 1992345201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71009686A (IN)
- Practice address
- 3900 S Walnut St
Bloomington, IN 47401-7325 - Phone
- (812) 822-1516
- NPI assigned
- Jan 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210226000425 | IN | Practitioner - Nurse Practitioner | 1658786587 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71009686A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FC Indiana, LLC | Nurse Practitioner | Current |
Accepting new patients |
| FC Indiana, LLC | Current |
Accepting new patients | |
| Cep America LLC | Current |
Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Inphynet Primary Care Physicians Midwest, S.C. | Nurse Practitioner | Current |
Accepting new patients |
| Cep America LLC | Current |
Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2418 16th St
Bedford, IN 47421
Phone (812) 278-3154
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
1202 E Tipton St
Seymour, IN 47274
Phone (812) 627-4933
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71009686A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71009686A | IN | Yes |
Addresses
Primary practice location
3900 S Walnut St
Bloomington, IN 47401-7325
Mailing address
6462 S McQuillen LN
Owensburg, IN 47453-8229
Phone (812) 369-5471
Other practice location 1
10858 E State Road 54
Bloomfield, IN 47424-6069
Phone (812) 400-0067
Other providers in Bloomington, IN
- Amanda Hennessee
- Carter F Henrich
- Malachi Henry
- Candace Hensley
- Kylie Heppner
- Gabriela Hernandez-Lopez
- William Herrington
- Erica Herron
- C Jessica Hersch
- Hope Hershey
All providers in Bloomington, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.