Individual provider Active NPI

Matthew Brandon Hunt, NP

  • Gerontology Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1295474088
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71012619A Issued in IN
Practice address
11313 USA Pkwy Ste E148
Fishers, IN 46037-9208
Phone
(314) 781-4500
Fax
(317) 781-4500
NPI assigned
Jun 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 71012619A IN Primary

Addresses

Primary practice location

11313 USA Pkwy Ste E148
Fishers, IN 46037-9208

Mailing address

11313 USA Pkwy Ste E148
Fishers, IN 46037-9208
Phone (314) 781-4500

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
I20220721003179 IN Practitioner - Nurse Practitioner 0345597670 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespan Advanced Care LLCGroup PAC ID 7911484944, 15 clinicians

Practice addresses (Care Compare)

118 Medical Dr
Carmel, IN 46032-3323
Phone (317) 844-4211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71012619AINMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Clinical Partners Gerontology CurrentSince Jul 1, 2022 Accepting new patients
Lifespan Advanced Care LLC Gerontology CurrentSince Dec 17, 2025 Accepting new patients
Proactive Clinical Partners - Aco CurrentSince Jun 24, 2023 Accepting new patients

Locations

1108 Kingwood Dr
Avon, IN 46123
Phone (317) 204-1100

118 Medical Dr
Carmel, IN 46032
Phone (317) 573-1037

11313 USA Pkwy
Ste E148
Fishers, IN 46037
Phone (314) 781-4500

2485 Directors Row
Ste D
Indianapolis, IN 46241
Phone (317) 941-7331

3525 E Hanna Ave
#L
Indianapolis, IN 46237
Phone (317) 788-4261

326 Country Club Dr
New Albany, IN 47150
Phone (812) 948-1131

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1295474088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11313 USA PKWY STE E148",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379208",
            "telephone_number": "314-781-4500",
            "fax_number": "317-781-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11313 USA PKWY STE E148",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379208",
            "telephone_number": "314-781-4500",
            "fax_number": "317-781-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "MATTHEW",
        "middle_name": "BRANDON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71012619A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.