MRS. TRICIA M JAMES NP
NPI 1578036265
Nurse Practitioner - Family in Muncie, IN

Active since January 07, 2019PECOS EnrolledAccepts Medicare Assignment
3600 W BETHEL AVE, MUNCIE, IN 47304(765) 284-7738(765) 284-4266 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2023, Jan 7, 2019 (2 updates tracked since 2019).

About Mrs. Tricia M James Np NPPES

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

MRS. TRICIA M JAMES NP (NPI 1578036265) is an individual family provider in Muncie, Indiana, licensed in Indiana (28199935A) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1578036265
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TRICIA M JAMESCredential: NP
Location Address3600 W BETHEL AVEMuncie, IN 47304-5407
Mailing Address3600 W Bethel AveMuncie, IN 47304-5407 · (765) 284-7738 · Fax (765) 284-4266
Fax(765) 284-4266
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 7, 2019
Last NPPES UpdateNovember 15, 20232 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
NPI 1578036265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 28199935A
3600 W BETHEL AVE, Muncie, IN 47304

Other Names 1

Other Name (5)Miss Tricia M Thieleke

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tricia M James Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204175144
PECOS Enrollment IDI20190311002450
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
243 services48 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services48 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
58 services49 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
27 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
3600 W BETHEL AVE
MUNCIE, IN 47304
Physical Therapist
3600 W BETHEL AVE
MUNCIE, IN 47304
Physical Therapy Assistant
3600 W BETHEL AVE
MUNCIE, IN 47304
Physical Therapist
3600 W BETHEL AVE
MUNCIE, IN 47304
Orthopaedic Surgery
3600 W BETHEL AVE
MUNCIE, IN 47304
Occupational Therapist
3600 W BETHEL AVE
MUNCIE, IN 47304
Physician Assistant
3600 W BETHEL AVE, CENTRAL INDIANA ORTHOPEDICS, PC
MUNCIE, IN 47304
Orthopaedic Surgery
3600 W BETHEL AVE
MUNCIE, IN 47304

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 Tricia James's NPI number?

The NPI number for Tricia James is 1578036265. It was assigned to this individual provider in the NPPES registry on January 7, 2019. The provider is also known as Miss Tricia M Thieleke.

Where is Tricia James located?

Tricia James practices at 3600 W Bethel Ave, Muncie, IN 47304. The listed phone number is (765) 284-7738.

What is Tricia James's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tricia James enrolled in Medicare?

Yes. Tricia James is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tricia James accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Tricia James as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tricia James affiliated with any hospitals?

According to CMS data, Tricia James is affiliated with Indiana University Health Ball Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tricia James was last updated on November 15, 2023. 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.