NPIMap

Individual provider Active NPI

Patricia Ann Hallett, MD

  • Family Medicine Physician
  • Trafalgar, IN
National Provider Identifier
1194802611
Registry record updated Mar 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01057873 Issued in IN
Practice address
106 S State Road 135 Ste C
Trafalgar, IN 46181-8702
Phone
(317) 878-4972
Fax
(317) 878-4593
NPI assigned
Nov 1, 2006
Last updated
Mar 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01057873 IN Primary

Addresses

Primary practice location

106 S State Road 135 Ste C
Trafalgar, IN 46181-8702

Mailing address

106 S State Road 135 Ste C
Trafalgar, IN 46181-8702
Phone (317) 878-4972

Other practice location 1

520 Tracy Rd
New Whiteland, IN 46184-9373
Phone (317) 535-7447

Other identifiers 1

IdentifierTypeStateIssuer
200452870MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patricia.hallettmd.p6@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000442 IN Practitioner - Family Practice 1658308952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

106 S State Rd
135 Suite C
Trafalgar, IN 46181-8702
Phone (317) 878-4972

10995 Allisonville Rd
Suite 100
Fishers, IN 46038-2616
Phone (317) 842-7928

503 Greenwood Trace Dr
Whiteland, IN 46184-9278
Phone (317) 535-7447

990 E State Rd
Suite 44
Franklin, IN 46131-9199
Phone (317) 736-8474

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC CurrentSince Feb 1, 2010 Accepting new patients
American Health Network of Indiana, LLC Family Medicine CurrentSince Feb 1, 2010 Accepting new patients
American Health Network of Indiana, LLC Family Medicine Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

10689 N Pennsylvania St
Ste 200
Carmel, IN 46280
Phone (317) 580-6309

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

20 Circle Dr
Franklin, IN 46131
Phone (317) 773-0008

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

15397 Stony Creek Way
Ste 101
Noblesville, IN 46060

106 S State Road 135
Ste C
Trafalgar, IN 46181
Phone (317) 878-4593

520 Tracy Rd
Whiteland, IN 46184
Phone (317) 535-7447

Interoperability endpoints

  • Direct secure messaging: patricia.hallettmd.p6@direct.ahni.nextgenshare.com
  • Direct secure messaging: phallett210971@direct.optum.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1194802611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S STATE ROAD 135 STE C",
            "city": "TRAFALGAR",
            "state": "IN",
            "postal_code": "461818702",
            "telephone_number": "317-878-4972",
            "fax_number": "317-878-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S STATE ROAD 135 STE C",
            "city": "TRAFALGAR",
            "state": "IN",
            "postal_code": "461818702",
            "telephone_number": "317-878-4972",
            "fax_number": "317-878-4593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Tracy Rd",
            "address_purpose": "LOCATION",
            "city": "New Whiteland",
            "state": "IN",
            "postal_code": "461849373",
            "country_code": "US",
            "telephone_number": "317-535-7447",
            "fax_number": "317-535-0262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLETT",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01057873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200452870",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.hallettmd.p6@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "106 S State Road 135 Ste C",
            "city": "Trafalgar",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461818702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trafalgar, IN

Sources for this page

Verify at the official NPI Registry.