Provider Demographics
NPI:1003822263
Name:BACHMEIER, BARBRA A (NP)
Entity Type:Individual
Prefix:MS
First Name:BARBRA
Middle Name:A
Last Name:BACHMEIER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:BARBRA
Other - Middle Name:A
Other - Last Name:TRITTIPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1701 N SENATE BLVD
Practice Address - Street 2:RM AG 001
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1239
Practice Address - Country:US
Practice Address - Phone:317-962-3886
Practice Address - Fax:317-962-8652
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000120363LF0000X
IN71000120A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201000650Medicaid
INM400038588Medicare PIN
IN201000650Medicaid
INM400038563Medicare PIN
INM400038646Medicare PIN
INM400038565Medicare PIN
INM400053543Medicare PIN
INM400038649Medicare PIN
INM400026774Medicare PIN