Individual provider Active NPI

Carla S Payne, RN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Greenfield, IN
National Provider Identifier
1063771962
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004088A Issued in IN
Practice address
5999 W Memory LN Ste 1
Greenfield, IN 46140-7294
Phone
(317) 779-1204
Fax
(317) 940-5759
NPI assigned
May 11, 2012
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71004088A IN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71004088A IN
Primary Care Nurse Practitioner 363LP2300X 71004088A IN
Registered Nurse 163W00000X 28160871A IN

Addresses

Primary practice location

5999 W Memory LN Ste 1
Greenfield, IN 46140-7294

Mailing address

6572 W Charleston Way
McCordsville, IN 46055-9677
Phone (317) 407-6808

Other identifiers 5

IdentifierTypeStateIssuer
000000779844OtherINANTHEM
000000791892OtherINANTHEM
9360882OtherINAETNA
201085440MedicaidIN
300071854MedicaidIN

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
I20121010000471 IN Practitioner - Nurse Practitioner 8325297146 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Payne Nursing Services LLCGroup PAC ID 5597203554, 2 clinicians

Practice addresses (Care Compare)

5999 W Memory LN
Suite 1
Greenfield, IN 46140-7294
Phone (317) 779-1204

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
28160871AINMDRegistered Nurse
71004088AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onhealthcare LLC CurrentSince Jan 18, 2023 Accepting new patients
Payne Nursing Services, LLC Family CurrentSince Feb 9, 2023 Accepting new patients
FC Indiana, LLC CurrentSince Jul 30, 2019 Accepting new patients
Onhealthcare, LLC Current Accepting new patients
Community Physicians of Indiana Inc CurrentSince Aug 1, 2012 Accepting new patients
FC Indiana, LLC CurrentSince Jul 30, 2019 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Aug 1, 2012 Accepting new patients
Major Hospital Past Accepting new patients
Onhealthcare LLC Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

5999 W Memory Ln
Ste 1
Greenfield, IN 46140
Phone (317) 779-1204

360 S Madison Ave
Ste 100
Greenwood, IN 46142
Phone (317) 881-8248

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

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

8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 554-0555

315 S Memorial Dr
New Castle, IN 47362
Phone (765) 518-8100

Interoperability endpoints

  • Direct secure messaging: carla.payne.d1.p4@direct.360care.nextgenshare.com

Organizations & group practices 9

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.

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": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1063771962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6572 W CHARLESTON WAY",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460559677",
            "telephone_number": "317-407-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 W MEMORY LN STE 1",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461407294",
            "telephone_number": "317-779-1204",
            "fax_number": "317-940-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "CARLA",
        "middle_name": "S",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004088A",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71004088A",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71004088A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28160871A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000779844",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000791892",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9360882",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201085440",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300071854",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.