Daryen Carothers, NP
Individual provider Active NPI Primary Care Nurse Practitioner · Upland, IN
NPI 1104796614 · NPPES record last updated Feb 4, 2026
Key facts
- NPI
- 1104796614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 71017403A (IN)
- Practice address
- 1809 S Main St
Upland, IN 46989-9257 - Phone
- (765) 770-0650
- Fax
- (765) 770-0652
- NPI assigned
- Nov 10, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1809 S Main St
Upland, IN 46989-9257
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health Ball Memorial Hospital
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 |
|---|---|---|---|---|
| I20251222001970 | IN | Practitioner - Nurse Practitioner | 7517452063 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71017403A | IN | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Family | Current |
Accepting new patients |
Locations
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1809 S Main St
Upland, IN 46989
Phone (765) 660-7520
1809 S Main St
Ste 100
Upland, IN 46989
Phone (765) 770-0650
Interoperability endpoints
- dcarothers@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 71017403A | IN | Yes |
| Family Nurse Practitioner | 363LF0000X | 71017403A | IN |
Addresses
Primary practice location
1809 S Main St
Upland, IN 46989-9257
Mailing address
1809 S Main St Ste 100
Upland, IN 46989-9258
Phone (765) 770-0650
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DCAROTHERS@DIRECT.IUHEALTH.ORG | Direct |
Other providers in Upland, IN
- Jennifer Elizabeth Bosley
- Hope Brown
- Anne E Campbell
- Cardinal Health Partners, LLC
- Central Indiana Orthopedics, LLC
- Lauryn Michelle Farney
- Molly Elizabeth Finnegan
- Kenneth Hackman
- Hand in Hand Companion Care LLC
All providers in Upland, IN · Primary Care Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2026. 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.