Individual provider Active NPI

Alicia Diane Hensley, AGNP-C

  • Primary Care Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1346619715
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
71005725A Issued in IN
Practice address
8301 Harcourt Rd Ste 200
Indianapolis, IN 46260-2082
Phone
(317) 415-6600
Fax
(317) 415-6649
NPI assigned
Sep 16, 2015
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 71005725A IN Primary
Registered Nurse 163W00000X 28176948A IN

Addresses

Primary practice location

8301 Harcourt Rd Ste 200
Indianapolis, IN 46260-2082

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other practice location 1

151 E Bow St
Thorntown, IN 46071-1164
Phone (765) 436-2400

Other practice location 2

13914 Southeastern Pkwy Ste 203A
Fishers, IN 46037-7125
Phone (317) 415-9556

Other practice location 3

2505 N Lebanon St Ste 125
Lebanon, IN 46052-8615
Phone (765) 483-7333

Other practice location 4

1025 Michigan Ave
Logansport, IN 46947-1593
Phone (574) 753-9000

Other practice location 5

395 Westfield Rd
Noblesville, IN 46060-1425
Phone (317) 770-1184

Other practice location 6

8550 Naab Rd Ste 205
Indianapolis, IN 46260-2092
Phone (317) 338-6040

Other identifiers 1

IdentifierTypeStateIssuer
201331770MedicaidIN

Other names 1

  • Alicia D Coffman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alihensley@withamdirect.org Health Information Exchange (HIE) Witham Memorial Hospital

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
I20150928000512 IN Practitioner - Nurse Practitioner 1557679412 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Witham Memorial HospitalGroup PAC ID 4082523170, 107 clinicians
My Mobile MD LLCGroup PAC ID 1052617826, 27 clinicians
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

151 E Bow St
Thorntown, IN 46071-1164
Phone (765) 436-2400

400 N Mount Zion Rd
Lebanon, IN 46052-9497
Phone (765) 335-0123

429 E Vermont St
Suite 110
Indianapolis, IN 46202-3685
Phone (317) 559-0950

8301 Harcourt Rd
Suite 200
Indianapolis, IN 46260-2082
Phone (317) 415-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28176948AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Witham Memorial Hospital CurrentSince Feb 28, 2022 Accepting new patients
My Mobile MD LLC CurrentSince May 23, 2025 Accepting new patients
American Oncology Partners PA CurrentSince Feb 1, 2026 Accepting new patients
Pike Medical Consultants PC CurrentSince Sep 1, 2015 Accepting new patients
My Mobile MD Indiana LLC CurrentSince Dec 30, 2025 Accepting new patients
Witham Memorial Hospital CurrentSince Feb 28, 2022 Accepting new patients
Riverview Hospital PastSince May 1, 2026 Accepting new patients
Riverview Hospital PastSince May 1, 2026 Accepting new patients

Locations

762 N Dan Jones Rd
Avon, IN 46123
Phone (201) 856-0224

13914 Southeastern Pkwy
Ste 203A
Fishers, IN 46037
Phone (317) 415-9556

429 E Vermont St
Ste 110
Indianapolis, IN 46202
Phone (765) 749-9871

7911 Michigan Rd
Indianapolis, IN 46268
Phone (317) 960-3278

8301 Harcourt Rd
Ste 200
Indianapolis, IN 46260
Phone (317) 415-6600

8550 Naab Rd
Ste 205
Indianapolis, IN 46260
Phone (317) 338-6040

2505 N Lebanon St
Ste 125
Lebanon, IN 46052
Phone (765) 483-7333

2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649

2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000

400 N Mount Zion Rd
Lebanon, IN 46052
Phone (765) 335-0123

1025 Michigan Ave
Logansport, IN 46947
Phone (574) 370-9853

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

395 Westfield Rd
Rm 2987
Noblesville, IN 46060
Phone (317) 770-1184

151 E Bow St
Thorntown, IN 46071
Phone (765) 436-2400

6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134

Interoperability endpoints

  • Direct secure messaging: alihensley@withamdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1346619715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 HARCOURT RD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602082",
            "telephone_number": "317-415-6600",
            "fax_number": "317-415-6649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 E Bow St",
            "address_purpose": "LOCATION",
            "city": "Thorntown",
            "state": "IN",
            "postal_code": "460711164",
            "country_code": "US",
            "telephone_number": "765-436-2400",
            "fax_number": "765-436-7375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13914 Southeastern Pkwy Ste 203A",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460377125",
            "country_code": "US",
            "telephone_number": "317-415-9556",
            "fax_number": "317-415-9210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2505 N Lebanon St Ste 125",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "IN",
            "postal_code": "460528615",
            "country_code": "US",
            "telephone_number": "765-483-7333",
            "fax_number": "765-483-7353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "IN",
            "postal_code": "469471593",
            "country_code": "US",
            "telephone_number": "574-753-9000",
            "fax_number": "574-753-1328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 Westfield Rd",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460601425",
            "country_code": "US",
            "telephone_number": "317-770-1184",
            "fax_number": "317-770-1189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8550 Naab Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602092",
            "country_code": "US",
            "telephone_number": "317-338-6040",
            "fax_number": "317-338-6044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "ALICIA",
        "middle_name": "DIANE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71005725A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28176948A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201331770",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alihensley@withamdirect.org",
            "affiliation": "Y",
            "affiliationName": "Witham Memorial Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "151 E Bow St",
            "city": "Thorntown",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460711164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "COFFMAN",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.