Dragonfly Primary Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DRAGONFLY PRIMARY CARE LLC

Practice address

6835 E Southport Rd Ste D
Indianapolis, IN 46237-9714

Phone

(317) 501-8496

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Crystal Dawn Wiles, FNP-BCNPI 1831578970

Title

Owner., Authorized Official

Phone

(317) 501-8496

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24338/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Wiles

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1831578970
  Medicare reassignment Care Compare group NPD Authorized official
• Angie N. Brown, RN, MSN, NP

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1871726034
  Medicare reassignment Care Compare group NPD
• Samantha Hockett, FNP

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1245891860
  Medicare reassignment Care Compare group NPD
• Kamalpreet Kaur

  • Family Nurse Practitioner
  • Plainfield, IN
  • NPI 1760995302
  Medicare reassignment Care Compare group NPD
• Britney Esther

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1568298826
  Medicare reassignment Care Compare group
• Julienne Elaine Leyva, ANP

  • Adult Health Nurse Practitioner
  • Pendleton, IN
  • NPI 1972762516
  Medicare reassignment NPD

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1033782156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 E SOUTHPORT RD STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379714",
            "telephone_number": "317-501-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6835 E SOUTHPORT RD STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379714",
            "telephone_number": "317-501-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "WILES",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER., AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "317-501-8496",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr.Andrey M Horton DDS,PC
• Dr.H.Hubbard and Associates, P.C.
• Natalie Marie Dragan, LMHC
• Marko V Dragisic
• Dragonfly Advanced Wound Care
• David D. Dragoo, M.D.
• Dylan Dragoo
• Susan Draheim, DDS
• Andrew Lee Drahos, M.D.
• Daija Drain

• Family Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.