Individual provider Active NPI

Michelle Sutterfield

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1023693983
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009010A Issued in IN
Practice address
5230 E Stop 11 Rd Ste 300
Indianapolis, IN 46237-6401
Phone
(317) 961-5173
NPI assigned
Mar 12, 2021
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34009010A IN Primary

Addresses

Primary practice location

5230 E Stop 11 Rd Ste 300
Indianapolis, IN 46237-6401

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210330002160 IN Practitioner - Clinical Social Worker 7517374044 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Onhealthcare LLC Clinical CurrentSince Apr 1, 2022 Accepting new patients
Onhealthcare, LLC CurrentSince Apr 1, 2022 Accepting new patients
Meridian Health Services Corp. CurrentSince Jan 23, 2024 Accepting new patients
Meridian Health Services Corp CurrentSince Jan 23, 2024 Accepting new patients
Onhealthcare LLC Past Accepting new patients

Locations

5230 E Stop 11 Rd
Ste 300
Indianapolis, IN 46237
Phone (317) 781-4588

8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 537-9522

240 N Tillotson Ave
Muncie, IN 47304

Interoperability endpoints

  • Direct secure messaging: michelle.sutterfield.p1@direct.meridianhs.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1023693983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 E STOP 11 RD STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462376401",
            "telephone_number": "317-961-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTERFIELD",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009010A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.