Individual provider Active NPI

Dawn N Paddock, NP

  • Gerontology Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1164815353
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71005624A Issued in IN
Practice address
5430 E Washington St
Indianapolis, IN 46219-6446
Phone
(317) 969-7935
Fax
(877) 550-2158
NPI assigned
Mar 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71005624A IN
Adult Health Nurse Practitioner 363LA2200X 71005624A IN
Adult Health Nurse Practitioner 363LA2200X 28189119A IN
Gerontology Nurse Practitioner 363LG0600X 71005624A IN Primary

Addresses

Primary practice location

5430 E Washington St
Indianapolis, IN 46219-6446

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-3728

Other practice location 2

2240 E 53rd St # B-1
Indianapolis, IN 46220-3479
Phone (179) 337-0473

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address DPADDOCK@DIRECT.IUHEALTH.ORG Direct
Direct Messaging Address dawn.nicole.paddock.1@29601.direct.athenahealth.com

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
I20150921000645 IN Practitioner - Nurse Practitioner 4981911120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5430 E Washington St
Indianapolis, IN 46219-6446
Phone (317) 969-7935

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28189119AINMDAdult Health Nurse Practitioner
71005624AINMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care in PC CurrentSince Jun 23, 2025 Accepting new patients
Centerwell Senior Primary Care in PC Current Accepting new patients
Oak Street Health Physicians Group, PC Nurse Practitioner Past Accepting new patients
Centerwell Senior Primary Care in PC Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

5430 E Washington St
Indianapolis, IN 46219
Phone (317) 322-1840

305 New Albany Plz
New Albany, IN 47150
Phone (812) 668-8133

Interoperability endpoints

  • Direct secure messaging: dawnnicole.paddock@centerwell.eclinicaldirectplus.com
  • Direct secure messaging: nicole.paddock@oakstreethealth.gwaydirect.com
  • Direct secure messaging: dpaddock@direct.iuhealth.org

Organizations & group practices 5

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": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1164815353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462196446",
            "telephone_number": "317-969-7935",
            "fax_number": "877-550-2158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 W University Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473033428",
            "country_code": "US",
            "telephone_number": "765-747-3728",
            "fax_number": "765-747-3518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 E 53rd St # B-1",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462203479",
            "country_code": "US",
            "telephone_number": "179-337-0473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADDOCK",
        "first_name": "DAWN",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005624A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71005624A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28189119A",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71005624A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DPADDOCK@DIRECT.IUHEALTH.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 W University Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473033428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dawn.nicole.paddock.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "5430 E Washington St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462196446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.