Individual provider Active NPI

Addistyn Trudi Nunley, PA-C

  • Physician Assistant
  • Lafayette, IN
National Provider Identifier
1144193178
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10005127A Issued in IN
Practice address
1411 S Creasy LN Ste 120
Lafayette, IN 47905-7433
Phone
(765) 447-4165
Fax
(765) 446-5317
NPI assigned
Sep 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10005127A IN Primary

Addresses

Primary practice location

1411 S Creasy LN Ste 120
Lafayette, IN 47905-7433

Mailing address

1411 S Creasy LN Ste 120
Lafayette, IN 47905-7433
Phone (765) 447-4165

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address addistyn.nunley.1@29985.direct.athenahealth.com Orthopaedics-Indianapolis, Inc.

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
I20251218003353 IN Practitioner - Physician Assistant 9830684695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians

Practice addresses (Care Compare)

2548 Cumberland Ave
West Lafayette, IN 47906-4083
Phone (765) 447-4165

8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000

Hospital & facility affiliations

  • Franciscan Health Lafayette Hospital, Lafayette, IN, CCN 150109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10005127AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics-Indianapolis, Inc Physician Assistant CurrentSince Dec 3, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Dec 3, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc Past Accepting new patients

Locations

8450 Northwest Blvd
Indianapolis, IN 46278

1411 S Creasy Ln
Ste 120
Lafayette, IN 47905
Phone (765) 447-4165

2548 Cumberland Ave
Ste 100
West Lafayette, IN 47906
Phone (765) 447-4165

Interoperability endpoints

  • Direct secure messaging: addistyn.nunley.1@29985.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1144193178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 S CREASY LN STE 120",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057433",
            "telephone_number": "765-447-4165",
            "fax_number": "765-446-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S CREASY LN STE 120",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057433",
            "telephone_number": "765-447-4165",
            "fax_number": "765-446-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNLEY",
        "first_name": "ADDISTYN",
        "middle_name": "TRUDI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10005127A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "addistyn.nunley.1@29985.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Athena Address",
            "affiliationName": "Orthopaedics-Indianapolis, Inc.",
            "address_1": "1411 S Creasy Ln Ste 120",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479057433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.