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Chimi Nusbaum , NP

Nurse Practitioner β€’ Indianapolis, IN

Active NPI 1265809321 Individual Practitioner Female Practitioner
Practice location in NPPES

2001 W 86th St
Indianapolis, IN 462601902

Call 3174157921 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2001 W 86th St

Indianapolis, IN 462601902

Telephone 3174157921
Fax 3174157922
Organization at the Same NPPES Address or Phone
Cardiothoracic Anesthesia Of Indiana, Pc Facility NPI 1134129885

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 4 distinct additional practice-address records in Fort Wayne, IN; Indianapolis, IN; Mishawaka, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Chimi Nusbaum has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Chimi Nusbaum as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Indianapolis and Indiana

479 active clinicians are listed under Nurse Practitioner with a practice address in Indianapolis, IN (2,597 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Indianapolis

10.4% of these 479 clinicians have the CMS telehealth indicator.

49.5% of these 479 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IN 71005652A

(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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
201316100 (IN)
Other Identifier Medicare Raidroad
P02078333 (IN)
Other Identifier Bcbs
000000959681 (IN)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20150915001456

Enrollment State Jurisdiction

IN

PECOS Control ID

1153638762

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

11115 Parkview Plaza Dr

Fort Wayne, IN 468451701

Phone: 2606726443

7950 W Jefferson Blvd

Fort Wayne, IN 468044140

Phone: 2604357001

1500 N Ritter Ave

Indianapolis, IN 462193027

Phone: 3173551411

5215 Holy Cross Pkwy

Mishawaka, IN 46545

Phone: 5743355000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Dawn Zimmer , MD

Obstetrics & Gynecology - Maternal & Fetal Medicine

NPI 1336258698

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

25 Historical Events
πŸ“
Updated Practice Location December 23, 2025

Registered at 2001 W 86TH ST, INDIANAPOLIS, IN 462601902 (Tel: 3174157921)

🏒
Secondary Practice Location Registered December 23, 2025

Additional practice office at 5215 Holy Cross Pkwy, Mishawaka, IN 46545

🏒
Secondary Practice Location Registered December 23, 2025

Additional practice office at 11115 Parkview Plaza Dr, Fort Wayne, IN 468451701

🏒
Secondary Practice Location Registered December 23, 2025

Additional practice office at 1500 N Ritter Ave, Indianapolis, IN 462193027

🏒
Secondary Practice Location Registered December 23, 2025

Additional practice office at 7950 W Jefferson Blvd, Fort Wayne, IN 468044140

πŸ“
Updated Practice Location March 27, 2024

Registered at 5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545 (Tel: 5743355000)

πŸ“
Updated Business Mailing Address March 27, 2024

Registered at 707 CEDAR ST STE 405, SOUTH BEND, IN 466172059 (Tel: 5743358707)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2022

Nurse Practitioner (license number reported to NPPES: IN 71005652A)

πŸ“
Updated Practice Location April 11, 2022

Registered at 11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 468451701 (Tel: 2606726443)

πŸ“
Updated Business Mailing Address April 11, 2022

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2022

Nurse Practitioner (license number reported to NPPES: IN 71005652A)

πŸ“
Updated Practice Location October 31, 2018

Registered at 1500 N RITTER AVE, INDIANAPOLIS, IN 462193027 (Tel: 3173551411)

πŸ“
Updated Practice Location May 16, 2018

Registered at 5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545 (Tel: 5743355000)

πŸ“
Updated Business Mailing Address May 16, 2018

Registered at 6626 E 75TH ST STE 500, INDIANAPOLIS, IN 462502890

βœ…
NPI Profile Active February 09, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 09, 2017

Registered at 5215 HOLY CROSS PKWY, MISHAWAKA, IN 465451469 (Tel: 5743355000)

πŸ“
Updated Business Mailing Address February 09, 2017

Registered at 707 E CEDAR ST, STE 200, SOUTH BEND, IN 466172057 (Tel: 5743358700)

πŸ‘€
Provider Name / Credentials Updated February 09, 2017

Recorded as CHIMI NUSBAUM, NP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2017

Nurse Practitioner (license number reported to NPPES: IN 71005652A)

βœ…
NPI Profile Active September 14, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 14, 2016

Registered at 5215 HOLY CROSS PKWY, MISHAWAKA, IN 465451469 (Tel: 5743355000)

πŸ“
Business Mailing Address (Initial Record) September 14, 2016

Registered at 707 E CEDAR ST, STE 200, SOUTH BEND, IN 466172057 (Tel: 5743358700)

πŸ‘€
Provider Name / Credentials (Initial Record) September 14, 2016

Recorded as CHIMI NUSBAUM, NP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2016

Nurse Practitioner (license number reported to NPPES: IN 71005652A)

🟒
Initial NPI Registration & Enumeration August 25, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265809321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2015
Last Update: December 23, 2025
Sole Proprietor: No

Other Nurse Practitioners in Indianapolis

All Nurse Practitioners in Indianapolis

Mailing Address

707 Cedar St Ste 405

South Bend, IN 466172059

Phone: 5743358707

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.