Individual provider Active NPI

Nicole Anne Slaten, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Indianapolis, IN
National Provider Identifier
1174011142
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
02005981A Issued in IN
Practice address
8414 Naab Rd
Indianapolis, IN 46260-1972
Phone
(317) 338-7510
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02005981A IN
Geriatric Medicine (Family Medicine) Physician 207QG0300X 02005981A IN Primary

Addresses

Primary practice location

8414 Naab Rd
Indianapolis, IN 46260-1972

Mailing address

8414 Naab Rd
Indianapolis, IN 46260-1972

Other practice location 1

5177 McCarty Ln
Lafayette, IN 47905-8764
Phone (765) 838-7101

Other practice location 2

8424 Naab Rd Ste 1L
Indianapolis, IN 46260-1954
Phone (317) 338-7780

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicole.moon.2@7598.direct.athenahealth.com ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723002075 IN Practitioner - Family PracticePractitioner - Geriatric Medicine 3375808777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Marian University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

13420 N Meridian St
Carmel, IN 46032-1581
Phone (317) 338-6666

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02005981AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Jul 1, 2021 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

13420 N Meridian St
Ste 270
Carmel, IN 46032
Phone (317) 338-6666

8414 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-1600

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

Interoperability endpoints

  • Direct secure messaging: nicole.moon.2@7598.direct.athenahealth.com
  • Direct secure messaging: nicole.moon.1@7598.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1174011142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 NAAB RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 NAAB RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601972",
            "telephone_number": "317-338-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5177 McCarty Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479058764",
            "country_code": "US",
            "telephone_number": "765-838-7101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8424 Naab Rd Ste 1L",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601954",
            "country_code": "US",
            "telephone_number": "317-338-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLATEN",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02005981A",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "02005981A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.moon.2@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER",
            "address_1": "8414 Naab Rd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462601972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.