Bloomington Meadows Gp -
Bloomington Meadows Gp - is a healthcare organization registered as Psychiatric Residential Treatment Facility in Bloomington, IN, holding Type 2 (organization) NPI 1417968595 since 2006. The authorized official on file is Becky Nyberg, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417968595 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bloomington Meadows Gp - |
| Practice address | 3600 N PROW RD, Bloomington, IN, 47404 |
| Phone | 8123318000 |
| Fax | 8123318985 |
| Enumeration date | 2006-08-11 |
| Last updated in NPPES | 2011-01-31 |
Authorized official
| Name | Becky Nyberg |
|---|---|
| Title | Cfo |
| Phone | 8123318000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | Primary | 278652298 | IN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200457070A | Medicaid | IN | — |
Copy-ready billing details
Provider: Bloomington Meadows Gp - NPI: 1417968595 Taxonomy: 323P00000X (Psychiatric Residential Treatment Facility) Address: 3600 N PROW RD, Bloomington, IN, 47404
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1891796108 | Bloomington Meadows Gp | Organization | Psychiatric Hospital | Bloomington, IN |
| 1033298120 | Bloomington Meadows Gp | Organization | Family Nurse Practitioner | Bloomington, IN |
| 1760555049 | Jennifer Lorinsky-Simpson | Individual | Mental Health Counselor | Bloomington, IN |
| 1124465729 | Ronda Bray | Individual | Psychiatric/Mental Health Nurse Practitioner | Bloomington, IN |
| 1407352313 | Gabriela Stanley | Individual | Psychiatric/Mental Health Nurse Practitioner | Bloomington, IN |
| 1346834652 | Jessica Burnell | Individual | Psychiatric/Mental Health Nurse Practitioner | Bloomington, IN |
| 1447912423 | Karri Woodard | Individual | Psychiatric/Mental Health Nurse Practitioner | Bloomington, IN |
| 1114650868 | Sarah Franklin | Individual | Psychiatric/Mental Health Nurse Practitioner | Bloomington, IN |
Verify this record
Cross-check NPI 1417968595 against the authoritative CMS record: view Bloomington Meadows Gp - on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Bloomington Meadows Gp -?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2011-01-31.