Individual provider Active NPI

Michelle Kaye Rich, NP

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1255648531
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28162792A Issued in IN
Practice address
720 Eskenazi Ave FL 1
Indianapolis, IN 46202-5189
Phone
(317) 880-3305
Fax
(317) 880-0411
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003438A IN
Nurse Practitioner 363L00000X 28162792A IN Primary

Addresses

Primary practice location

720 Eskenazi Ave FL 1
Indianapolis, IN 46202-5189

Mailing address

720 Eskenazi Ave FL 1
Indianapolis, IN 46202-5189
Phone (317) 880-3305

Other practice location 1

7411 Hope Dr
Fort Wayne, IN 46815-5687
Phone (260) 264-5600

Other identifiers 1

IdentifierTypeStateIssuer
201002200MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mrich37898@direct.eskenazihealth.edu Direct
Direct Messaging Address mrich@direct.iuhealth.org Direct

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
I20110222001107 IN Practitioner - Nurse Practitioner 0446431522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7411 Hope Dr
Fort Wayne, IN 46815-5687
Phone (260) 264-5600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28162792AINMDNurse Practitioner
71003438AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pic Indiana PC CurrentSince Dec 12, 2022 Accepting new patients
Indiana University Health Urgent Care Centers, LLC. CurrentSince Jul 12, 2017 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Jul 12, 2017 Accepting new patients
Pike Medical Consultants PC Nurse Practitioner CurrentSince Apr 4, 2017 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

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

762 N Dan Jones Rd
Avon, IN 46123
Phone (201) 856-0224

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

7411 Hope Dr
Fort Wayne, IN 46815
Phone (260) 234-5433

7411 Hope Dr
Ste A
Fort Wayne, IN 46815
Phone (260) 264-5600

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

996 S State Road 135
Ste P
Greenwood, IN 46143
Phone (317) 893-3888

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

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

7911 Michigan Rd
Indianapolis, IN 46268
Phone (317) 960-3278

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

630 Birk Rd
Martinsville, IN 46151
Phone (765) 341-2091

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

Interoperability endpoints

  • Direct secure messaging: mrich37898@direct.eskenazihealth.edu
  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
  • Direct secure messaging: michelle.rich.1@14940.direct.athenahealth.com
  • Direct secure messaging: mrich4@direct.iuhealth.org

Organizations & group practices 7

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1255648531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ESKENAZI AVE FL 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025189",
            "telephone_number": "317-880-3305",
            "fax_number": "317-880-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ESKENAZI AVE FL 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025189",
            "telephone_number": "317-880-3305",
            "fax_number": "317-880-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7411 Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468155687",
            "country_code": "US",
            "telephone_number": "260-264-5600",
            "fax_number": "260-444-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICH",
        "first_name": "MICHELLE",
        "middle_name": "KAYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003438A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28162792A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201002200",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrich37898@direct.eskenazihealth.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "720 Eskenazi Ave Fl 1",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrich@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7411 Hope Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468155687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.