Unknown Individual – Critical Care Medicine Nurse Practitioner, NPI 1063565968
Critical Care Medicine Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Saint Vincent Indianapolis, 2001, West 86th Street, Indianapolis, Indiana, 46260, United States
3RD FLOOR MEDICAL EDUCATION CENTER
INDIANAPOLIS, IN 462601902
Phone: (317) 338-2345
Type: Location
1313, Trescott Drive, Centennial South, Westfield, Hamilton County, Indiana, 46074, United States
WESTFIELD, IN 460742202
Phone:
Fax: (317) 669-7326
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Amgen Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46260)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| - | IN | |
| Pulmonary Disease, Critical Care (Intensivists) | IN | |
| General Surgery, Thoracic Surgery | IN | |
| - | IN | |
| - | NY | |
| Interventional Radiology | IN | |
| - | IN | |
| G A S T R O E N T E R O L O G Y | TX | |
| Nurse Practitioner | IN |
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