SOUTHERN INDIANA FAMILY PRACTICE CENTER PC
SOUTHERN INDIANA FAMILY PRACTICE CENTER PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1770626152, based in Bloomington, IN. The organization lists 2 taxonomy classifications, with Preferred Provider Organization recorded as primary.
Getting there
The practice address on file is 3209 W FULLERTON PIKE STE A, Bloomington, IN 47403. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 71002130A | IN | Nurse Practitioner |
| 01055670A | IN | Preferred Provider Organization primary |
This provider holds licence 71002130A issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1557467362
- Enrollment ID
- O20070510000310
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Preferred Provider Organization covers
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. NUCC Health Care Provider Taxonomy, code 305R00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71002130A | IN | |
| 305R00000X | Preferred Provider Organization | 01055670A | IN | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1770626152 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 15, 2007 |
| Last updated | Nov 20, 2015 |
| Status | Active |
| Practice address |
3209 W FULLERTON PIKE STE A Bloomington, IN 47403 (812) 339-6744 Fax (812) 671-9113 |
| Other names |
Southern Indiana Family Practice Center Former Legal Name |
| Other identifiers |
200367600a
· Medicaid (IN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 7 | 0 | 6 | 2 | 6 | 1 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 5 | 0 | 3 | 2 | 3 | 1 | 1 |
Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.