Organization Active NPI

Payne Nursing Services, LLC

  • Family Nurse Practitioner
  • Greenfield, IN
National Provider Identifier
1205665577
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PAYNE NURSING SERVICES, LLC
Doing business as
Payne Nursing Services, LLC
Practice address
5999 W Memory LN Ste 1
Greenfield, IN 46140-7294
Phone
(317) 779-1204
Fax
(317) 940-5759
NPI assigned
Jul 26, 2024
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Mrs. Carla Payne, NPNPI 1063771962
Title
Owner
Phone
(317) 779-1204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

5999 W Memory LN Ste 1
Greenfield, IN 46140-7294

Mailing address

6572 W Charleston Way
McCordsville, IN 46055-9677
Phone (317) 779-1204

Other identifiers 2

IdentifierTypeStateIssuer
201085440MedicaidIN
300097015MedicaidIN

Other names 1

  • Payne Nursing Services, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821002882 IN Part B Supplier - Clinic/Group Practice 5597203554 Receives reassigned benefits from 2 practitioners
Practice locations: Greenfield, IN

National Provider Directory

National Provider Directory

Locations

5999 W Memory Ln
Ste 1
Greenfield, IN 46140
Phone (317) 779-1204

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1205665577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6572 W CHARLESTON WAY",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460559677",
            "telephone_number": "317-779-1204",
            "fax_number": "317-940-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 W MEMORY LN STE 1",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461407294",
            "telephone_number": "317-779-1204",
            "fax_number": "317-940-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNE NURSING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-779-1204",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201085440",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300097015",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Payne Nursing Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Payne Nursing Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.