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ASA MARIE NIEDBALSKI AGNP
NPI 1376115535
Nurse Practitioner - Gerontology in Pendleton, IN

Active since July 15, 2021
1597 COLD SPRINGS DR, PENDLETON, IN 46064(574) 274-2560(317) 219-0879 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2024, Jul 15, 2021 (2 updates tracked since 2021).

About Asa Marie Niedbalski Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASA MARIE NIEDBALSKI AGNP (NPI 1376115535) is an individual gerontology provider in Pendleton, Indiana, licensed in Indiana (71011321A) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1376115535
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameASA MARIE NIEDBALSKICredential: AGNP
Location Address1597 COLD SPRINGS DRPendleton, IN 46064-5506
Mailing Address1597 Cold Springs DrPendleton, IN 46064-5506 · (574) 274-2560
Phone(574) 274-2560
Fax(317) 219-0879
Sole ProprietorNo
Enumeration DateJuly 15, 2021
Last NPPES UpdateMay 16, 20242 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1376115535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IN · 71011321A
1597 COLD SPRINGS DR, Pendleton, IN 46064
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Asa Niedbalski's NPI number?

The NPI number for Asa Niedbalski is 1376115535. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Asa Niedbalski located?

Asa Niedbalski practices at 1597 Cold Springs Dr, Pendleton, IN 46064. The listed phone number is (574) 274-2560.

What is Asa Niedbalski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Asa Niedbalski was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.