Individual provider Active NPI

Deidra Hughes

  • Psychiatric/Mental Health Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1104620939
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71018093A Issued in IN
Practice address
1516 E Butler St
Muncie, IN 47303-3935
Phone
(765) 381-7677
NPI assigned
Apr 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71018093A IN Primary

Addresses

Primary practice location

1516 E Butler St
Muncie, IN 47303-3935

Mailing address

1516 E Butler St
Muncie, IN 47303-3935
Phone (765) 381-7677

Other practice location 1

1701 Spring St Ste B
Jeffersonville, IN 47130-2930
Phone (812) 284-2273

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
I20260519000287 IN Practitioner - Nurse Practitioner 3870062953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Care Family Practice Rick Bobay LLCGroup PAC ID 5991844631, 79 clinicians

Practice addresses (Care Compare)

1701 Spring St
Suite B
Jeffersonville, IN 47130-2930
Phone (812) 284-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71018093AINMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1104620939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E BUTLER ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033935",
            "telephone_number": "765-381-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E BUTLER ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033935",
            "telephone_number": "765-381-7677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Spring St Ste B",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471302930",
            "country_code": "US",
            "telephone_number": "812-284-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "DEIDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71018093A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.