ELYSE LYN GROGAN (NPI# 1598399461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598399461 |
| Entity Type | Individual |
| Full Name | ELYSE LYN GROGAN |
| Credential | NP |
| Practice Address |
12155 Pebble St Unit 1000 Fishers IN 46038-6667 |
| Practice Telephone | 3177962619 |
| Mailing Telephone | 3177962619 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28206959A | IN | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 71010471A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12155 PEBBLE ST UNIT 1000 |
| City | FISHERS |
| State | IN |
| Zip Code | 46038-6667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447976 | Pratima Shrestha | Nurse Practitioner | 11680 Commercial Dr Ste 200, Fishers, IN 46038 | 2018-11-29 |
| 1295242782 | Monica Hengge | Counselor | 11650 Lantern Rd Ste 128, Fishers, IN 46038 | 2018-01-05 |
| 1912437146 | Aaron Justin Tai | Optometrist | 10967 Allisonville Rd Ste 120, Fishers, IN 46038 | 2017-06-20 |
| 1124411657 | Amy K Parris | Social Worker | 11650 N. Lantern Road, Suite 232, Fishers, IN 46038 | 2015-03-09 |
| 1174948202 | New Roots Behavior Strategies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13448 Fulton Drive, Fishers, IN 46038 | 2014-02-26 |
| 1306195292 | Planned Parenthood of Indiana Fishers | Clinic/Center | 8937 Technology Drive, Fishers, IN 46038 | 2012-09-06 |
| 1720336647 | Heather Jo Handley | Physical Therapist | 11650 N. Lantern Road, Suite 235, Fishers, IN 46038 | 2012-08-27 |
| 1770866287 | Kristin Nicole Eckerle | Pharmacist | 13962 Boulder Canyon Drive, Fishers, IN 46038 | 2011-09-21 |
| 1518267830 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 10312 Allisonville Rd, Fishers, IN 46038 | 2010-11-02 |
| 1316195316 | Barbara Elizabeth Rucker | Psychologist | 13179 Huff Blvd, Fishers, IN 46038 | 2008-09-03 |
| Find all providers in zip 46038 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407014 | Carissa Leann Firmand | Nurse Practitioner | 12375 Castlestone Dr, Fishers, IN 46037-3906 | 2020-02-04 |
| 1912444126 | Sarah J Lecount | Nurse Practitioner | 10995 Allisonville Rd Ste 102, Fishers, IN 46038-2617 | 2017-01-25 |
| 1528016912 | Kelly E Ward | Nurse Practitioner | 8300 E 96th St, Fishers, IN 46037-9795 | 2006-05-05 |
| 1053866921 | Amy Woebkenberg | Nurse Practitioner | 13121 Olio Rd Ste 300, Fishers, IN 46037 | 2016-08-22 |
| 1487007241 | Hillary B Risk | Nurse Practitioner | 13100 E 136th St, Suite 1200, Fishers, IN 46037-9417 | 2016-07-18 |
| 1477918639 | Melissa Lyn Franiak | Nurse Practitioner | 10412 Allisonville Rd, Suite 100, Fishers, IN 46038-2052 | 2015-12-15 |
| 1225408016 | Jennifer A Stern | Nurse Practitioner | 13100 E 136th St, Ste 3000, Fishers, IN 46037-9417 | 2015-10-06 |
| 1629419908 | Kerrie Rochelle Suits | Nurse Practitioner | 11521 Fishers Dr, Fishers, IN 46038-1860 | 2013-07-15 |
| 1528408028 | Tricia J. Stadler | Nurse Practitioner | 8890 E 116th St, Suite 300, Fishers, IN 46038-2820 | 2013-06-28 |
| 1154633261 | Marie J Pfoser | Nurse Practitioner | 8300 E 96th St, Fishers, IN 46037-9795 | 2010-07-06 |
| Find all providers in FISHERS | ||||
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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.