Individual provider Active NPI

Nanette Lana Richards, FNP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1245997857
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012013A Issued in IN
Practice address
8455 Keystone Xing Ste 300
Indianapolis, IN 46240-4353
Phone
(845) 205-6004
Fax
(317) 969-6727
NPI assigned
Nov 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F04210355 IN
Family Nurse Practitioner 363LF0000X 71012013A IN Primary

Addresses

Primary practice location

8455 Keystone Xing Ste 300
Indianapolis, IN 46240-4353

Mailing address

2485 Directors Row Ste D
Indianapolis, IN 46241-4907
Phone (317) 941-7338

Other names 1

  • Nanette Lana Moore Former name

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
I20220218001470 IN Practitioner - Nurse Practitioner 8325432263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

Practice addresses (Care Compare)

505 W Cleveland Rd
Mishawaka, IN 46545-1003
Phone (574) 235-3135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F04210355INMDNurse Practitioner
71012013AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pic Indiana PC CurrentSince Nov 11, 2024 Accepting new patients

Locations

3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051

1113 W 7th St
Auburn, IN 46706
Phone (260) 909-5163

123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305

1124 S 13th St
Decatur, IN 46733
Phone (260) 706-5039

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115

2680 Escalade Way
Warsaw, IN 46582
Phone (574) 306-4128

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1245997857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 DIRECTORS ROW STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462414907",
            "telephone_number": "317-941-7338",
            "fax_number": "317-969-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 KEYSTONE XING STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404353",
            "telephone_number": "845-205-6004",
            "fax_number": "317-969-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "NANETTE",
        "middle_name": "LANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "F04210355",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012013A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANETTE",
            "last_name": "MOORE",
            "middle_name": "LANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.