Nicole L O'rourke, NP - Medicare Nurse Practitioner in Indianapolis, IN

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 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Village Medical At Home Of Indiana Pc and 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.

Contact Information

Nicole L O'rourke, NP
1919 E 52nd St Ste 200,
Indianapolis, IN 46205-1381
(317) 429-0120
Not Available



Physician's Profile

Full NameNicole L O'rourke
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location1919 E 52nd St Ste 200, Indianapolis, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1336377670NPI-NPPES
201108760MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine 71002948A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71002948A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Village Medical At Home Of Indiana Pc145676933026

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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 NameGrace Divine, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548596372
PECOS PAC ID: 2264568377
Enrollment ID: O20100329000308

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Entity NameVillage Medical At Home Of Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235736067
PECOS PAC ID: 1456769330
Enrollment ID: O20210413002230

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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 AddressPractice 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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