Individual provider Active NPI

Ashley Marie Mahin, RN, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1164881595
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006470A Issued in IN
Practice address
5402 Allisonville Rd
Indianapolis, IN 46220-5547
Phone
(317) 679-3031
NPI assigned
Feb 13, 2016
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71006470A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X IN
Registered Nurse 163W00000X 28195214A IN

Addresses

Primary practice location

5402 Allisonville Rd
Indianapolis, IN 46220-5547

Mailing address

5402 Allisonville Rd
Indianapolis, IN 46220-5547
Phone (176) 793-0313

Other identifiers 3

IdentifierTypeStateIssuer
Q00244628OtherINRAILROAD MEDICARE
266180K27OtherINMEDICARE IND. PTAN
201382790MedicaidIN

Other names 1

  • Ashley Marie Boyer Former name

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
I20160829001824 IN Practitioner - Nurse Practitioner 7416242508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5402 Allisonville Rd
Indianapolis, IN 46220-5547
Phone (317) 500-4572

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28195214AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nurses Direct Connect LLC Family CurrentSince Feb 1, 2024 Accepting new patients
Hendricks County Hospital Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1164881595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 ALLISONVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205547",
            "telephone_number": "176-793-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 ALLISONVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205547",
            "telephone_number": "317-679-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHIN",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-13",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006470A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28195214A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "Q00244628",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  IND. PTAN",
            "identifier": "266180K27",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201382790",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BOYER",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.