Active NPI
Meghan Kyle Fricke
- Physician Assistant
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10001248A
- Practice address
- 860 E 86TH St Ste 4
Indianapolis, IN 46240 - Phone
- (317) 975-3441
- NPI assigned
- Nov 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10001248A | IN | Primary |
Addresses
Primary practice location
860 E 86TH St Ste 4
Indianapolis, IN 46240
Mailing address
150 W Washington St
Shelbyville, IN 46176-1236
Phone (317) 398-5275
Other practice location 1
150 W Washington St
Shelbyville, IN 46176-1236
Phone (317) 398-5275
Other practice location 2
675 E Hickory Ln
Indianapolis, IN 46227-8512
Phone (317) 883-7712
Other practice location 3
650 N Girls School Rd
Indianapolis, IN 46214-3672
Phone (317) 299-4033
Other practice location 4
1728 E State Road 44
Shelbyville, IN 46176-1846
Phone (317) 395-3788
Other practice location 5
10950 Pendleton Pike
Indianapolis, IN 46236-2843
Phone (317) 975-3441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000713740 | Other | IN | ANTHEM BC/BS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
860 E 86TH St
Indianapolis, IN 46240-6860
Phone (317) 975-3441
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10001248A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nora Urgent Care LLC | Current | Accepting new patients | |
| Greenway Trail Emergency Physicians LLC | Past | Accepting new patients | |
| Icem-Ball, LLC | Past | Accepting new patients | |
| Lafountain Emergency Physicians LLC | Past | Accepting new patients |
Locations
675 E Hickory Ln
Indianapolis, IN 46227
Phone (317) 497-6390
860 E 86th St
Ste 4
Indianapolis, IN 46240
Phone (317) 975-3441
10950 Pendleton Pike
Indianapolis, IN 46236
Phone (317) 355-2470
1728 E State Road 44
Shelbyville, IN 46176
Phone (317) 395-3788
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Indianapolis, IN
- NPI 1033548896
-
- Urgent Care Clinic/Center
- Indianapolis, IN
- NPI 1568932002
-
- Emergency Medicine Physician
- Franklin, IN
- NPI 1194093989
-
- Emergency Medicine Physician
- Muncie, IN
- NPI 1316273691
-
- Emergency Medicine Physician
- Kokomo, IN
- NPI 1003180407
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1104128214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 W WASHINGTON ST",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461761236",
"telephone_number": "317-398-5275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 E 86TH ST STE 4",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46240",
"telephone_number": "317-975-3441"
}
],
"practiceLocations": [
{
"address_1": "150 W Washington St",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "IN",
"postal_code": "461761236",
"country_code": "US",
"telephone_number": "317-398-5275",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "675 E Hickory Ln",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462278512",
"country_code": "US",
"telephone_number": "317-883-7712",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "650 N Girls School Rd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462143672",
"country_code": "US",
"telephone_number": "317-299-4033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1728 E State Road 44",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "IN",
"postal_code": "461761846",
"country_code": "US",
"telephone_number": "317-395-3788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10950 Pendleton Pike",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462362843",
"country_code": "US",
"telephone_number": "317-975-3441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRICKE",
"first_name": "MEGHAN",
"middle_name": "KYLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-22",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10001248A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000713740",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.