Individual provider Active NPI

Nitin Mahajan, PMHNP

  • Family Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1336828466
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014271A Issued in IN
Practice address
12811 Milton Rd # Ana
Fishers, IN 46037-6415
Phone
(614) 620-3295
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 71014271A IN Primary

Addresses

Primary practice location

12811 Milton Rd # Ana
Fishers, IN 46037-6415

Mailing address

12811 Milton Rd
Fishers, IN 46037-6415
Phone (614) 620-3295

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
I20241021003028 IN Practitioner - Nurse Practitioner 6608308275 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleanslate Medical Group of Indiana LLCGroup PAC ID 4880963909, 60 clinicians
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

1725 N Meridian St
Indianapolis, IN 46202-1403
Phone (317) 396-2679

8240 Naab Rd
Suite 360
Indianapolis, IN 46260-1987
Phone 8328694818235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71014271AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Indiana Inc. Psychiatric/Mental Health CurrentSince Oct 27, 2025 Accepting new patients
Theoria Medical CurrentSince Aug 15, 2024 Accepting new patients
Aspire Indiana Health Inc CurrentSince Oct 27, 2025 Accepting new patients
Cleanslate Medical Group of Indiana LLC CurrentSince Jan 1, 2025 Accepting new patients
Aspire Indiana Health Inc. CurrentSince Oct 27, 2025 Accepting new patients
Cleanslate Medical Group of Pennsylvania LLC Past Accepting new patients

Locations

101 N Harrison St
Alexandria, IN 46001
Phone (765) 233-0903

4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402

2009 Brown St
Anderson, IN 46016
Phone (765) 393-3891

4925 S Scatterfield Rd
#G
Anderson, IN 46013
Phone (765) 442-0402

203 W 1st St
Bloomington, IN 47403
Phone (812) 339-1675

155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437

1004 Parkway Ave
Ste E
Elkhart, IN 46516
Phone (574) 218-7131

10731 N State Road 13
Elwood, IN 46036
Phone (765) 552-5009

4411 Washington Ave
Ste 105
Evansville, IN 47714
Phone (812) 213-0304

3005 E State Blvd
Fort Wayne, IN 46805
Phone (260) 267-9498

833 Indianapolis Rd
Ste E
Greencastle, IN 46135
Phone (765) 301-3680

65 Airport Pkwy
Ste 114
Greenwood, IN 46143
Phone (317) 807-0268

9660 E Washington St
#300
Indianapolis, IN 46229
Phone (317) 860-5600

1725 N Meridian St
Indianapolis, IN 46202
Phone (317) 396-1676

3728 S Reed Rd
Kokomo, IN 46902
Phone (765) 626-7110

30 Professional Ct
Ste 2
Lafayette, IN 47905
Phone (765) 838-1218

8601 Connecticut St
Merrillville, IN 46410
Phone (219) 525-3495

124 E Main St
Muncie, IN 47305
Phone (765) 587-7311

9615 E 148th St
Ste 1
Noblesville, IN 46060
Phone (317) 587-0500

18051 River Rd
Ste 101
Noblesville, IN 46062
Phone (317) 674-0062

2455 E Main St
#194
Plainfield, IN 46168
Phone (317) 268-7198

2302 Chester Blvd
Ste A
Richmond, IN 47374
Phone (765) 488-0345

402 19th St
Tell City, IN 47586
Phone (812) 547-3427

2936 Frontage Rd
Warsaw, IN 46580
Phone (574) 306-2145

Interoperability endpoints

  • Direct secure messaging: nitin.mahajan.1@20553.direct.athenahealth.com

Organizations & group practices 8

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1336828466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12811 MILTON RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376415",
            "telephone_number": "614-620-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 MILTON RD # ANA",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376415",
            "telephone_number": "614-620-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "NITIN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014271A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.