Individual provider Active NPI

Macy Jane Louthain

  • Family Nurse Practitioner
  • Brownsburg, IN
National Provider Identifier
1295419281
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013985A Issued in IN
Practice address
475 E Northfield Dr Ste B
Brownsburg, IN 46112-2210
Phone
(317) 286-3147
Fax
(317) 960-1037
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 71013985A IN Primary

Addresses

Primary practice location

475 E Northfield Dr Ste B
Brownsburg, IN 46112-2210

Mailing address

475 E Northfield Dr Ste a
Brownsburg, IN 46112-2210
Phone (317) 286-3147

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
I20240212002773 IN Practitioner - Nurse Practitioner 2769825215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Health Specialist of Indiana PCGroup PAC ID 1153374111, 4 clinicians

Practice addresses (Care Compare)

9333 N Meridian St
Suite 202
Indianapolis, IN 46260-1821
Phone (317) 580-9333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71013985AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health Specialist of Indiana PC CurrentSince Jan 8, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

9333 N Meridian St
Ste 2
Indianapolis, IN 46260
Phone (317) 580-9333

9333 N Meridian St
Ste 202
Indianapolis, IN 46260
Phone (317) 580-9333

9333 N Meridian St
Ste 101
Indianapolis, IN 46260
Phone (317) 580-9333

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1295419281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E NORTHFIELD DR STE A",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122210",
            "telephone_number": "317-286-3147",
            "fax_number": "317-960-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E NORTHFIELD DR STE B",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122210",
            "telephone_number": "317-286-3147",
            "fax_number": "317-960-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUTHAIN",
        "first_name": "MACY",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013985A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

Verify at the official NPI Registry.