BRENA LEE INGERSOL (NPI# 1770052862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770052862 |
| Entity Type | Individual |
| Full Name | BRENA LEE INGERSOL |
| Practice Address |
13345 Illinois St Carmel IN 46032-3318 |
| Practice Telephone | 3173961300 |
| Practice Fax Number | 3173961375 |
| Mailing Telephone | 3173961300 |
| Mailing Fax Number | 3173961375 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
28242777A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | TAXONOMY | 363LF0000X | 01 |
| Street Address |
13345 ILLINOIS ST |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275580318 | Indianapolis Neurosurgical Group PC | Registered Nurse | 13345 Illinois St, Carmel, IN 46033 | 2006-05-27 |
| 1801400825 | Ashley Fish | Registered Nurse | 13345 Illinois St, Carmel, IN 46032-3318 | 2020-09-08 |
| 1487263273 | Nicole Gwen Lemrick | Registered Nurse | 13345 Illinois St, Carmel, IN 46032-3318 | 2020-07-28 |
| 1568087963 | Nora Elizabeth Ferree | Registered Nurse | 13345 Illinois St, Carmel, IN 46032-3318 | 2020-06-11 |
| 1457986259 | Walter Andrew Jay Mandery | Registered Nurse | 13345 Illinois St, Carmel, IN 46032-3318 | 2020-03-12 |
| 1124668108 | Elizabeth Scott Fortune | Registered Nurse | 13345 Illinois St, Carmel, IN 46032-3318 | 2020-01-08 |
| 1528617453 | Kelly Hoonhout | Registered Nurse | 13345 Illinois St, Carmel, IN 46032-3318 | 2019-09-04 |
| 1790339943 | William Garry Birch Iv | Registered Nurse | 13345 Illinois St, Carmel, IN 46032-3318 | 2019-07-26 |
| 1831656230 | Stacey Lynn Roberts | Nurse Practitioner | 13345 Illinois St, Carmel, IN 46032 | 2019-02-22 |
| 1861941221 | Sarah E. Rooksberry | Physician Assistant | 13345 Illinois St, Carmel, IN 46032-3318 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724671 | Lana J Hume | Nurse Practitioner | 15229 Westfield Blvd, Carmel, IN 46032-8000 | 2020-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809140 | Indiana Suburban Visiting Physician Services | Nurse Practitioner | 5 Washington St Ste 300, Valparaiso, IN 46383-4769 | 2020-10-20 |
| 1033737069 | Housecalls/optum for United Health Group | Nurse Practitioner | 518 Euclid Ave, Greenwood, IN 46142-3618 | 2020-07-07 |
| 1497382030 | Toya Jamillah Woods | Nurse Practitioner | 3814 Grant St, Gary, IN 46408-2150 | 2020-03-24 |
| 1558905554 | Amy Hueston | Nurse Practitioner | 313 S Berkley Rd, Kokomo, IN 46901-5114 | 2019-11-01 |
| 1891338166 | Jayme Lantz | Nurse Practitioner | 20085 Turquoise Ln, Goshen, IN 46528-6294 | 2019-10-19 |
| 1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
| 1164984597 | Care At Home LLC | Nurse Practitioner | 717 Washington Park Blvd, Michigan City, IN 46360-2056 | 2019-04-04 |
| 1255815379 | Amanda Kay Goins | Nurse Practitioner | 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 | 2018-09-25 |
| 1972084267 | Kelly Sue Ann Peasley | Nurse Practitioner | 2101 Jackson St Ste 8, Anderson, IN 46016-4341 | 2018-08-24 |
| 1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.