Individual provider Active NPI

Elizabeth McQuinn

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Carmel, IN
National Provider Identifier
1053780718
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
71005789A Issued in IN
Practice address
321 John St
Carmel, IN 46032-1214
Phone
(317) 850-3119
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 71005789B IN
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 71005789A IN Primary

Addresses

Primary practice location

321 John St
Carmel, IN 46032-1214

Mailing address

321 John St
Carmel, IN 46032-1214
Phone (317) 850-3119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151013000527 IN Practitioner - Certified Clinical Nurse Specialist (CNS) 7517276678 Reassigns benefits to 3 organizations
I20180322001326 IN Practitioner - Nurse Practitioner 7517276678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

321 John St
Carmel, IN 46032-1214
Phone (317) 850-3119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71005789BINMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oaks Health Inc CurrentSince Mar 12, 2018 Accepting new patients
Northside Psychotherapeutics Psychiatric/Mental Health CurrentSince Sep 21, 2021 Accepting new patients
S4 Specialty Consultants LLC CurrentSince Feb 1, 2023 Accepting new patients
Assurance Health Indianapolis, LLC CurrentSince Dec 4, 2016 Accepting new patients
Valley Oaks Health Inc CurrentSince Mar 12, 2018 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jan 1, 2018 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jan 1, 2018 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1265 N Bradford Dr
Delphi, IN 46923
Phone (765) 564-2247

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

900 N High School Rd
Indianapolis, IN 46214
Phone (317) 982-3715

1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041

7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041

8465 Keystone Xing
Ste 210
Indianapolis, IN 46240

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

Organizations & group practices 7

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": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1053780718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 JOHN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321214",
            "telephone_number": "317-850-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 JOHN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321214",
            "telephone_number": "317-850-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUINN",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71005789B",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71005789A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.