Individual provider Active NPI

Lauren Amanda Callahan

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1013599869
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011491A Issued in IN
Practice address
10122 E 10TH St Ste 100
Indianapolis, IN 46229-2697
Phone
(317) 355-5717
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71011491A IN Primary

Addresses

Primary practice location

10122 E 10TH St Ste 100
Indianapolis, IN 46229-2697

Mailing address

11752 Brocken Way
Indianapolis, IN 46229-3939
Phone (317) 201-0125

Other practice location 1

13085 Tegler Dr
Noblesville, IN 46060-5417
Phone (317) 770-7089

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
I20230120000836 IN Practitioner - Nurse Practitioner 8426429945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians

Practice addresses (Care Compare)

6189 W John L Modglin Dr
Suite 101
Greenfield, IN 46140-9364
Phone (317) 866-7300

801 N State
Greenfield, IN 46140-1270

801 N State St
Greenfield, IN 46140-1270

801 N State St 3
Central Indiana Amg Specialty Hospital
Greenfield, IN 46140-1270
Phone (317) 477-6789

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71011491AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jan 23, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jan 23, 2023 Accepting new patients
Hancock Physician Network, LLC CurrentSince Jan 1, 2024 Accepting new patients
Hancock Health Gateway Services Inc CurrentSince Sep 1, 2025 Accepting new patients
Hancock Health Gateway Services, Inc. Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

6189 W John L Modglin Dr
Ste 101
Greenfield, IN 46140
Phone (317) 866-7300

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

10122 E 10th St
Ste 100
Indianapolis, IN 46229
Phone (317) 355-5717

4055 Roy Wilson Way
Ste 110
New Palestine, IN 46163
Phone (317) 477-9355

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1013599869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11752 BROCKEN WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293939",
            "telephone_number": "317-201-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10122 E 10TH ST STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292697",
            "telephone_number": "317-355-5717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13085 Tegler Dr",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460605417",
            "country_code": "US",
            "telephone_number": "317-770-7089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "LAUREN",
        "middle_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011491A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.