Deanna Reed, NP
Individual provider Active NPI Registered Nurse · Indianapolis, IN
NPI 1104414879 · NPPES record last updated Apr 11, 2022
Key facts
- NPI
- 1104414879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 71010767A (IN)
- Practice address
- 8075 N Shadeland Ave Ste 200
Indianapolis, IN 46250-2694 - Phone
- (317) 621-8500
- NPI assigned
- Jan 7, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Physician Network Specialty Care LLC
Community Physicians of Indiana Inc
Practice addresses (Care Compare)
8075 N Shadeland Ave
Indianapolis, IN 46250-2693
Phone (317) 621-8000
8075 N Shadeland Ave
Suite 200
Indianapolis, IN 46250-2694
Phone (317) 621-8500
Hospital & facility affiliations
- Community Hospital East
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210824002083 | IN | Practitioner - Nurse Practitioner | 6002211430 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28164821A | IN | MD | Registered Nurse |
| 71010767A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current |
Accepting new patients | |
| Community Physician Network Specialty Care LLC | Current |
Accepting new patients | |
| Community Physicians of Indiana Inc | Current |
Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
5918 Reliable Pkwy
Chicago, IL 60686
8075 N Shadeland Ave
Ste 200
Indianapolis, IN 46250
Phone (317) 621-8000
8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
Interoperability endpoints
- dreed518578@ecommunitydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28164821A | IN | |
| Registered Nurse | 163W00000X | 71010767A | IN | Yes |
Addresses
Primary practice location
8075 N Shadeland Ave Ste 200
Indianapolis, IN 46250-2694
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
3400 Lafayette Rd
Indianapolis, IN 46222-1146
Phone (317) 291-7422
Other providers in Indianapolis, IN
- Cynthia K Reed
- Damon A Reed
- Danielle Reed
- Danielle Marie Reed
- Darriel Reed
- Dewana Reed
- Dianne Reed
- Ellen Reed
- Frank Reed
- Gerald Reed
All providers in Indianapolis, IN · Registered Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.