Mr. Willard Keith Cupp III, PMHNP
Mr. Willard Keith Cupp III, PMHNP is a Nurse Practitioner in Elkhart, Indiana. Qualified in 2020, 6 years ago. Practices with Heart City Health Center Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 6
- Licensed in
- IN
- In the registry since
- 2021
What do these letters mean?
- PMHNP — Psychiatric-Mental Health Nurse Practitioner
- A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.
Practice location Address checks out
236 Simpson AveElkhart, IN 46516-4666
Phone: (574) 293-0052
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 71010753A (IN) |
|---|
Record details
| NPI number | 1265021406 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PMHNP |
| Sole proprietor | No |
| NPI enumerated | January 12, 2021 |
| Last updated in NPPES | November 3, 2023 |
| Certification date | August 3, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Heart City Health Center Inc — 15 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Elkhart
-
Lisa Kirkton
2600 Oakland Ave, Elkhart, IN 46517-1533 · (574) 533-1234
-
Adam Robert Peila, PMHNP-BC
236 Simpson Ave, Elkhart, IN 46516-4666 · (574) 293-0052