Individual provider Active NPI

Lora D Defreese, CNM

  • Advanced Practice Midwife
  • Elkhart, IN
National Provider Identifier
1336618644
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
09000316A Issued in IN
Practice address
1215 Lawn Ave Ste 100
Elkhart, IN 46514-2450
Phone
(574) 293-2893
Fax
(574) 293-1298
NPI assigned
Nov 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 09000316A IN Primary

Addresses

Primary practice location

1215 Lawn Ave Ste 100
Elkhart, IN 46514-2450

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Other practice location 1

550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 944-8231

Other practice location 2

206 W Warren St
Middlebury, IN 46540-9410
Phone (574) 825-2146

Other practice location 3

2405 W Lexington Ave
Elkhart, IN 46514-1417
Phone (574) 524-7575

Other practice location 4

2222 Rieth Blvd Ste 104
Goshen, IN 46526-5869
Phone (574) 875-1082

Other practice location 5

1215 Lawn Ave Ste 110
Elkhart, IN 46514-2493
Phone (574) 524-7570

Other practice location 6

1545 Cassopolis St
Elkhart, IN 46514-3128
Phone (574) 584-7373

Other identifiers 1

IdentifierTypeStateIssuer
300021977MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ldefreese@direct.iuhealth.org Direct
Direct Messaging Address ldefreese@mybeacon.cernerdirect.com

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190128000138 IN Practitioner - Certified Nurse Midwife (CNM) 4880931021 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
09000316AINMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Heart City Health Center, Inc. CurrentSince Jun 27, 2019 Accepting new patients
Heart City Health Center, Inc. CurrentSince Jun 27, 2019 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Beacon Medical Group Inc CurrentSince Feb 1, 2019 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Sep 1, 2023 Accepting new patients
Beacon Medical Group, Inc. Advanced Practice Midwife CurrentSince Feb 1, 2019 Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Heart City Health Center Pharmacy Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

1215 Lawn Ave
Ste 100
Elkhart, IN 46514
Phone (574) 293-2893

1215 Lawn Ave
Ste 110
Elkhart, IN 46514
Phone (574) 524-7570

236 Simpson Ave
Elkhart, IN 46516
Phone (574) 293-0052

1545 Cassopolis St
Elkhart, IN 46514
Phone (574) 584-2501

2405 W Lexington Ave
Elkhart, IN 46514
Phone (574) 295-8805

2222 Rieth Blvd
Ste 104
Goshen, IN 46526
Phone (574) 875-1082

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

702 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-0273

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

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

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

206 W Warren St
Middlebury, IN 46540
Phone (219) 825-2146

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

Interoperability endpoints

  • Direct secure messaging: ldefreese@mybeacon.cernerdirect.com
  • Direct secure messaging: lora.defreese.1@11397.direct.athenahealth.com

Organizations & group practices 10

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": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1336618644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LAWN AVE STE 100",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142450",
            "telephone_number": "574-293-2893",
            "fax_number": "574-293-1298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-944-8231",
            "fax_number": "317-948-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 W Warren St",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "IN",
            "postal_code": "465409410",
            "country_code": "US",
            "telephone_number": "574-825-2146",
            "fax_number": "574-524-7435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2405 W Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465141417",
            "country_code": "US",
            "telephone_number": "574-524-7575",
            "fax_number": "574-524-7576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 Rieth Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465265869",
            "country_code": "US",
            "telephone_number": "574-875-1082",
            "fax_number": "574-875-3860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lawn Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465142493",
            "country_code": "US",
            "telephone_number": "574-524-7570",
            "fax_number": "574-524-7571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1545 Cassopolis St",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465143128",
            "country_code": "US",
            "telephone_number": "574-584-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFREESE",
        "first_name": "LORA",
        "middle_name": "D",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000316A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300021977",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldefreese@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 University Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldefreese@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "206 W Warren St",
            "city": "Middlebury",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465409410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.