Active NPI
Lora D Defreese, CNM
- Advanced Practice Midwife
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 09000316A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300021977 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09000316A | IN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Heart City Health Center, Inc. | Current | Accepting new patients | |
| Heart City Health Center, Inc. | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Advanced Practice Midwife | Current | 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
- ldefreese@mybeacon.cernerdirect.com
- 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.
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Community Health Clinic/Center
- Elkhart, IN
- NPI 1720033418
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
- Obstetrics & Gynecology Physician
- Elkhart, IN
- NPI 1316073372
Advanced Practice Midwife
-
- Federally Qualified Health Center (FQHC)
- Elkhart, IN
- NPI 1861034688
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
-
- Community Health Clinic/Center
- Elkhart, IN
- NPI 1003802455
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.