NPIMap

Organization Active NPI

Windrose Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
National Provider Identifier
1154699346
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WINDROSE HEALTH NETWORK, INC.
Practice address
8921 Southpointe Dr
Suite A1
Indianapolis, IN 46227-1084
Phone
(317) 884-7820
Fax
(317) 888-8851
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Scott K Rollett
Title
Cfo / Coo
Phone
(317) 739-4895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

8921 Southpointe Dr
Suite A1
Indianapolis, IN 46227-1084

Mailing address

14 Trafalgar SQ
Trafalgar, IN 46181-9515
Phone (317) 739-4895

Other identifiers 1

IdentifierTypeStateIssuer
200127470EMedicaidIN

Other names 1

  • Windrose Health Network - Countyline Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041018000851 IN Part B Supplier - Clinic/Group Practice 8426965039 Receives reassigned benefits from 47 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hope, IN; Trafalgar, IN; Indianapolis, IN; Franklin, IN; Avon, IN
O20120201000928 IN Part A Provider - Federally Qualified Health Center (FQHC) 8426965039 Practice locations: Indianapolis, IN

Federally qualified health center certification: CCN 151876

Legal name
WINDROSE HEALTH NETWORK INC
Doing business as
WINDROSE HEALTH NETWORK -COUNTYLINE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 3, 2012
Last certification
Feb 3, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 4, 1996 in IN
Enrollment address
8921 Southpointe Dr
Ste A1
Indianapolis, IN 46227-1085

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Trafalgar Fam Health Cent8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8921 Southpointe Dr
Ste A1
Indianapolis, IN 46227
Phone (317) 780-7400

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shirley M Robertson Individual Corporate Director Nov 1, 2011
Linda Adams Individual Corporate DirectorBoard Member Mar 1, 2019
Gregg Grote Individual Corporate DirectorCfo Jun 1, 2010
Monica Anderson Individual Corporate DirectorBoard Member Mar 1, 2019
Melissa J Harrier Individual Corporate DirectorBoard of Director Dec 15, 2014
Dennis Chasteen Individual Corporate DirectorBoard Member Dec 15, 2014
Michael Kolenda Individual Corporate Officer Dec 2, 2003 100%
W-2 Managing Employee Nov 1, 2011 100%
Operational/Managerial Control Nov 1, 2011 100%
Scott K Rollett Individual Corporate Officer Nov 1, 2011 100%
W-2 Managing Employee Nov 1, 2011 100%
Operational/Managerial Control Nov 1, 2011 100%
Janet L Buchanan Individual Corporate DirectorBoard of Director Nov 1, 2011
Cindi a Yantz Individual Corporate DirectorCmo Mar 1, 2019
Jason Jones Individual Corporate DirectorBoard Member Jun 1, 2010
William Mink Individual Corporate Director Mar 1, 2019
Laura Pryor Individual Corporate DirectorBoard Member Mar 1, 2019
Sharon L Waltz Individual Corporate Director Nov 1, 2011
Nicole Spears Individual Corporate DirectorBoard Member Mar 1, 2019
Atin Tandon Individual Corporate DirectorBoard Member Mar 1, 2019
Windrose Health Network Inc Organization, Trafalgar, IN Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2011 100%
Operational/Managerial Control Nov 1, 2011 100%
Thomas Weartz Individual Corporate DirectorBoard of Director Dec 15, 2014

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Windrose Health Network-EdinburghEdinburgh, IN, CCN 151041 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1154699346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TRAFALGAR SQ",
            "city": "TRAFALGAR",
            "state": "IN",
            "postal_code": "461819515",
            "telephone_number": "317-739-4895",
            "fax_number": "317-878-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 SOUTHPOINTE DR",
            "address_2": "SUITE A1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271084",
            "telephone_number": "317-884-7820",
            "fax_number": "317-888-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDROSE HEALTH NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "ROLLETT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO / COO",
        "authorized_official_telephone_number": "317-739-4895"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200127470E",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windrose Health Network - Countyline",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Windrose Health Network - Countyline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.