Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265809321 Individual Practitioner Female Practitioner

Chimi Nusbaum , NP

Nurse Practitioner • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Chimi Nusbaum, NP is a registered healthcare professional specializing in Nurse Practitioner in Indianapolis, IN. Practice services are available at 2001 W 86TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2001 W 86th St

Indianapolis, IN 462601902

Telephone 3174157921
Fax 3174157922
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
477 Specialists

Practicing in Indianapolis, IN (2620 Statewide)

Telehealth Adoption Rate
10.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
201316100 (IN)
Commercial Insurance / Payer ID Medicare Raidroad
P02078333 (IN)
Commercial Insurance / Payer ID Bcbs
000000959681 (IN)

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1043420581

Doctor of Medicine (M.D.)

Dr. Caroline Maylock , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1053301143

Doctor of Medicine (M.D.)

Amy Mowery , NNP

Nurse Practitioner - Neonatal, Critical Care

NPI 1063662252
Kathleen Stuart

Nurse Practitioner - Neonatal

NPI 1073375218
Dr. Shaun Hicks , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1073618575

Doctor of Medicine (M.D.)

NPI 1104061704

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

21 Historical Events
📍
Updated Practice Location December 23, 2025

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

📍
Updated Practice Location March 27, 2024

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

📍
Updated Business Mailing Address March 27, 2024

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

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

Nurse Practitioner (License #71005652A in IN)

📍
Updated Practice Location April 11, 2022

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

📍
Updated Business Mailing Address April 11, 2022

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

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

Nurse Practitioner (License #71005652A in IN)

📍
Updated Practice Location October 31, 2018

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

📍
Updated Practice Location May 16, 2018

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

📍
Updated Business Mailing Address May 16, 2018

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

NPI Profile Active February 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2017

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

📍
Updated Business Mailing Address February 09, 2017

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

👤
Provider Name / Credentials Updated February 09, 2017

Recorded as CHIMI NUSBAUM, NP

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

Nurse Practitioner (License #71005652A in IN)

NPI Profile Active September 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2016

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

📍
Updated Business Mailing Address September 14, 2016

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

👤
Provider Name / Credentials Updated September 14, 2016

Recorded as CHIMI NUSBAUM, NP

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

Nurse Practitioner (License #71005652A in IN)

🟢
Initial NPI Registration & Enumeration August 25, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

707 Cedar St Ste 405

South Bend, IN 466172059

Phone: 5743358707

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.