Individual provider Active NPI

Bailey Morgan Lannan Mazurek, FNP

  • Family Nurse Practitioner
  • New Palestine, IN
National Provider Identifier
1245125608
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016780A Issued in IN
Practice address
5026 W US 52
New Palestine, IN 46163-9770
Phone
(317) 373-1482
NPI assigned
Jun 9, 2025
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71016780A IN Primary

Addresses

Primary practice location

5026 W US 52
New Palestine, IN 46163-9770

Mailing address

2592 N Willow Way
Indianapolis, IN 46268-4249
Phone (317) 373-1482

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818003617 IN Practitioner - Nurse Practitioner 1456850379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moon and Associates LLCGroup PAC ID 4284960816, 4 clinicians
Minuteclinic Diagnostics of Indiana LLCGroup PAC ID 3072548502, 121 clinicians

Practice addresses (Care Compare)

12400 N Meridian St
Suite 100
Carmel, IN 46032-4601
Phone (317) 559-3320

5026 W US Hwy 52
New Palestine, IN 46163-9770
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71016780AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moon and Associates, LLC CurrentSince Dec 23, 2025 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Aug 11, 2025 Accepting new patients

Locations

12400 N Meridian St
Ste 100
Carmel, IN 46032
Phone (317) 559-3320

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

5026 W US Highway 52
New Palestine, IN 46163
Phone (317) 373-1482

1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043

Interoperability endpoints

  • Direct secure messaging: bailey.mazurek.1@19786.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19786/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1245125608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 N WILLOW WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684249",
            "telephone_number": "317-373-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 W US 52",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461639770",
            "telephone_number": "317-373-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUREK",
        "first_name": "BAILEY",
        "middle_name": "MORGAN LANNAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016780A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Palestine, IN

Sources for this page

Verify at the official NPI Registry.