COURTNEY N BUMBALOUGH FNP-C
NPI 1952881435
Nurse Practitioner - Family in Indianapolis, IN

Q: What is Courtney Bumbalough's NPI number?

The NPI number for Courtney Bumbalough is 1952881435. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Q: What is Courtney Bumbalough's specialty?

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

Active since August 15, 2018PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

2445 DIRECTORS ROW STE C, INDIANAPOLIS, IN 46241(317) 941-7338(317) 969-6727 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2021, Aug 15, 2018 (2 updates tracked since 2018).

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About Courtney N Bumbalough Fnp-c NPPES

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

COURTNEY N BUMBALOUGH FNP-C (NPI 1952881435) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (F07180702) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Hancock Regional Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1952881435

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCOURTNEY N BUMBALOUGHCredential: FNP-C

Location Address2445 DIRECTORS ROW STE CIndianapolis, IN 46241-4936

Mailing Address2445 Directors Row Ste CIndianapolis, IN 46241-4936 · (317) 941-7338 · Fax (317) 969-6727

Phone(317) 941-7338

Fax(317) 969-6727

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 15, 2018

Last NPPES UpdateJuly 2, 20212 updates tracked since enumeration

NPPES CertifiedJuly 2, 2021

✔ NPI 1952881435 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 · F07180702

2445 DIRECTORS ROW STE C, Indianapolis, IN 46241

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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

Courtney N Bumbalough Fnp-c 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 ID5799018586

PECOS Enrollment IDI20190611000520

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 14

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,278 services203 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

1,001 services108 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

327 services179 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

197 services77 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

163 services84 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

152 services146 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

136 services35 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

131 services35 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

112 services61 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

72 services69 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

65 services65 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

44 services44 patients

Advance care planning, first 30 minutes 99497

14 services13 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

13 services11 patients

Hospital Affiliations CMS Care Compare

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

Hancock Regional Hospital

Acute Care Hospitals · Greenfield, IN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150037

Location801 N State StGreenfield, IN 46140 · Hancock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46241 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier19 claims19 services$18.78 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

PATRICK L MANN PA-C

Physician Assistant

2445 DIRECTORS ROW STE C
INDIANAPOLIS, IN 46241

Marion County (317) 941-7338

MS. DANNIELLE CHRISTINE GILYAN FNP-C, RN, MSN

Nurse Practitioner (Family)

2445 DIRECTORS ROW STE C
INDIANAPOLIS, IN 46241

Marion County (317) 619-2133

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 Courtney Bumbalough's NPI number?

The NPI number for Courtney Bumbalough is 1952881435. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Courtney Bumbalough located?

Courtney Bumbalough practices at 2445 Directors Row Ste C, Indianapolis, IN 46241. The listed phone number is (317) 941-7338.

What is Courtney Bumbalough's specialty?

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

Is Courtney Bumbalough enrolled in Medicare?

Yes. Courtney Bumbalough 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 Courtney Bumbalough accept?

Health plans from CareSource and UnitedHealthcare list Courtney Bumbalough 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 Courtney Bumbalough affiliated with any hospitals?

According to CMS data, Courtney Bumbalough is affiliated with Hancock Regional Hospital.

When was this NPI record last updated?

The NPPES record for Courtney Bumbalough was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.