Unknown Individual – Primary Care Nurse Practitioner, NPI 1124211073
Primary Care Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Zion Medical Center, 1650, West Oak Street, Zionsville, Boone County, Indiana, 46077, United States
ZIONSVILLE, IN 460771962
Phone: (317) 733-6300
Fax: (317) 733-6315
Type: Location
305, North Lebanon Street, Lebanon, Boone County, Indiana, 46052, United States
LEBANON, IN 460528622
Phone:
Type: Mailing
6085 HEARTLAND DR STE 205
ZIONSVILLE, IN 460774433
Phone: (317) 768-2200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $298.
Total Amount is formed as General ($298) + Research ($0) + Ownership ($0) = $298.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Lilly USA, LLC ($75).
Total Amount
$298
General + Research + Ownership
Payments
19
Total payment records
General Amount
$298
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $75 |
| Novartis Pharmaceuticals Corporation | $56 |
| ABBVIE INC. | $46 |
| Novo Nordisk Inc | $43 |
| Otsuka America Pharmaceutical, Inc. | $20 |
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 73 | 59 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 34 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 19 | 18 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 14 | 13 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 12 | 12 | $0 |
Insurance plans in this area (ZIP 46077)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| P O D I A T R Y | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Orthopedic Surgery | IN | |
| - | IN | |
| - | IN | |
| Physical Therapist In Private Practice | KY | |
| G A S T R O E N T E R O L O G Y | IN |
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