Nicole L O'rourke, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Indianapolis, Indiana. She graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
1919 E 52nd St Ste 200, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 429-0120.
Nicole L O'rourke is licensed to practice in Indiana (license number 71002948A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336377670.
Physician's Profile
| Full Name | Nicole L O'rourke |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 16 Years |
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| Location | 1919 E 52nd St Ste 200, Indianapolis, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole L O'rourke graduated from medical school in 2009
NPI Data:
- NPI Number: 1336377670
- Provider Enumeration Date: 06/25/2009
- Last Update Date: 04/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204974835
- Enrollment ID: I20091118000739
Medical Identifiers
Medical identifiers for Nicole L O'rourke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336377670 | NPI | - | NPPES |
| 201108760 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 71002948A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71002948A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole L O'rourke allows following entities to bill medicare on her behalf.
| Entity Name | Grace Divine, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548596372
PECOS PAC ID: 2264568377
Enrollment ID: O20100329000308 |
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| Entity Name | Village Medical At Home Of Indiana Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235736067
PECOS PAC ID: 1456769330
Enrollment ID: O20210413002230 |
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| Entity Name | Np Enterprises Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689425928
PECOS PAC ID: 2163861683
Enrollment ID: O20240417001589 |
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| Entity Name | Care Medical Practice Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811658883
PECOS PAC ID: 5991199804
Enrollment ID: O20250421000660 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole L O'rourke is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicole L O'rourke, NP
9365 Counselors Row Ste 210,
Indianapolis, IN 46240-6418
Ph: (317) 429-0120 | Nicole L O'rourke, NP
1919 E 52nd St Ste 200,
Indianapolis, IN 46205-1381
Ph: (317) 429-0120 |
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