Individual provider Active NPI

Rachel Ann Ploskonka, PHD

  • Psychologist
  • Lafayette, IN
National Provider Identifier
1235655598
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
3750 Landmark Dr Ste a
Lafayette, IN 47905-6652
Phone
(765) 807-2780
Fax
(317) 706-3417
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

3750 Landmark Dr Ste a
Lafayette, IN 47905-6652

Mailing address

29943 Network PL
Chicago, IL 60673-1299
Phone (317) 706-3415

Other identifiers 1

IdentifierTypeStateIssuer
300014974MedicaidIN

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170831002854 IN Practitioner - Clinical Psychologist 7618240367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Oaks Health IncGroup PAC ID 7315927563, 45 clinicians
Shadeland Anesthesia and Pain Associates IncGroup PAC ID 2769468990, 41 clinicians

Practice addresses (Care Compare)

415 N 26TH St
Suite 201
Lafayette, IN 47904-2856

610 Main St
Lafayette, IN 47901-1451
Phone (765) 423-2638

8805 N Meridian St
Suite 200
Indianapolis, IN 46260-2643
Phone 3177067246309

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shadeland Anesthesia & Pain Associates Inc. CurrentSince Aug 11, 2025 Accepting new patients
Shadeland Anesthesia & Pain Associates Inc. CurrentSince Aug 11, 2025 Accepting new patients
Valley Oaks Health Inc CurrentSince Aug 22, 2017 Accepting new patients
Valley Oaks Health Inc CurrentSince Aug 22, 2017 Accepting new patients

Locations

29943 Network Pl
Chicago, IL 60673

8805 N Meridian St
Ste 200
Indianapolis, IN 46260
Phone (317) 571-5000

9002 N Meridian St
Ste 209
Indianapolis, IN 46260
Phone (317) 750-3452

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

3750 Landmark Dr
Ste A
Lafayette, IN 47905
Phone (765) 448-4511

3738 Landmark Dr
Ste A
Lafayette, IN 47905
Phone (765) 807-2780

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.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1235655598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29943 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731299",
            "telephone_number": "317-706-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 LANDMARK DR STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479056652",
            "telephone_number": "765-807-2780",
            "fax_number": "317-706-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOSKONKA",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300014974",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.