Individual provider Active NPI

Nolan Ahearn

  • Physician Assistant
  • Carmel, IN
National Provider Identifier
1023833696
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004754A Issued in IN
Practice address
12751 Pennsylvania St
Carmel, IN 46032-5516
Phone
(317) 975-3441
NPI assigned
Nov 19, 2024
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10004754A IN Primary

Addresses

Primary practice location

12751 Pennsylvania St
Carmel, IN 46032-5516

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

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
I20250402002491 IN Practitioner - Physician Assistant 7517480213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nora Urgent Care LLCGroup PAC ID 4486884871, 19 clinicians
Community Physician Network Urgent Care LLCGroup PAC ID 1052819869, 80 clinicians

Practice addresses (Care Compare)

10950 Pendleton Pike
Indianapolis, IN 46236-2843
Phone (317) 723-3875

5160 E Southport Rd
Indianapolis, IN 46237-9601
Phone (317) 975-3441

650 N Girls School Rd
F40 in Immediate Care
Indianapolis, IN 46214-3672
Phone (317) 299-4033

675 E Hickory LN
In Immediate Care
Indianapolis, IN 46227-8512
Phone (317) 883-7712

8177 Clearvista Pkwy
Suite 100
Indianapolis, IN 46256-1662
Phone (317) 621-7800

860 E 86TH St
Indianapolis, IN 46240-6860
Phone (317) 975-3441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10004754AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nora Urgent Care LLC CurrentSince Mar 7, 2025 Accepting new patients
Community Physician Network Urgent Care LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

8177 Clearvista Pkwy
#100
Indianapolis, IN 46256
Phone (317) 621-7800

860 E 86th St
Indianapolis, IN 46240
Phone (812) 333-2731

860 E 86th St
Ste 4
Indianapolis, IN 46240
Phone (317) 975-3441

Organizations & group practices 2

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": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1023833696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 PENNSYLVANIA ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325516",
            "telephone_number": "317-975-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHEARN",
        "first_name": "NOLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-19",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004754A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.