Individual provider Active NPI

Lindsey Bradshaw Peterson, PA-C

  • Medical Physician Assistant
  • Carmel, IN
National Provider Identifier
1003354507
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10002209A Issued in IN
Practice address
13430 N Meridian St Ste 275
Carmel, IN 46032-1484
Phone
(317) 582-8810
NPI assigned
Feb 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X IN
Medical Physician Assistant 363AM0700X 10002209A IN Primary

Addresses

Primary practice location

13430 N Meridian St Ste 275
Carmel, IN 46032-1484

Mailing address

13430 N Meridian St Ste 275
Carmel, IN 46032-1484

Other practice location 1

13225 N Meridian St
Carmel, IN 46032-5480
Phone (317) 228-7000

Other practice location 2

8051 S Emerson Ave
Suite 300
Indianapolis, IN 46237-8600
Phone (317) 851-2663

Other names 1

  • Lindsey Marie Bradshaw Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lindsey.peterson.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170404001884 IN Practitioner - Physician Assistant 8022394170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

13430 N Meridian St
Carmel, IN 46032-1484

13450 N Meridian St
Suite 145
Carmel, IN 46032-1484
Phone (317) 338-4303

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002209AINMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jan 6, 2025 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

13430 N Meridian St
Ste 280
Carmel, IN 46032
Phone (317) 582-8030

13430 N Meridian St
Ste 275
Carmel, IN 46032
Phone (317) 329-7123

13225 N Meridian St
Carmel, IN 46032
Phone (317) 715-4863

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1003354507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 N MERIDIAN ST STE 275",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 N MERIDIAN ST STE 275",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321484",
            "telephone_number": "317-582-8810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13225 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460325480",
            "country_code": "US",
            "telephone_number": "317-228-7000",
            "fax_number": "317-893-1237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8051 S Emerson Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462378600",
            "country_code": "US",
            "telephone_number": "317-851-2663",
            "fax_number": "317-851-2664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LINDSEY",
        "middle_name": "BRADSHAW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10002209A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindsey.peterson.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "13430 N Meridian St Ste 275",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460321484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "BRADSHAW",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.