Katrina Motley, DNP, AGPCNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

28146968A Issued in IN

Practice address

3850 Shore Dr Ste 315
Indianapolis, IN 46254-4693

Phone

(317) 429-0061

Fax

(317) 222-1953

NPI assigned

May 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Michael S Miller DO Facos CWS PCGroup PAC ID 6406935733, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Michael S. Miller DO, Facos, CWS, PC

  • Surgery Physician
  • Indianapolis, IN
  • NPI 1316072242
  Medicare reassignment Care Compare group NPD
• Owen Cox Corp

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1265368674
  NPD Authorized official

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1174934780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 SHORE DR STE 315",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544693",
            "telephone_number": "317-429-0061",
            "fax_number": "317-222-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 SHORE DR STE 315",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544693",
            "telephone_number": "317-429-0061",
            "fax_number": "317-222-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTLEY",
        "first_name": "KATRINA",
        "name_prefix": "Mrs.",
        "credential": "DNP, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28146968A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas R Mote, MD
• Hengameh Motevasel, DDS
• Motion Medical Technology
• Motive Wellness LLC
• Chardai Nicole Motley
• Shanay Motley
• Mercy Moto, APN
• Sarah Mott, NP
• Mariah Nicole Mottau
• Elizabeth A Motter, NP

• Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.