Individual provider Active NPI

Dylan Randolph Smith, APRN

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1366094849
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013246A Issued in IN
Practice address
7825 McFarland LN Ste a
Indianapolis, IN 46237-3630
Phone
(317) 888-5500
Fax
(317) 887-4806
NPI assigned
Jul 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3013498 KY
Family Nurse Practitioner 363LF0000X 71013246A IN Primary

Addresses

Primary practice location

7825 McFarland LN Ste a
Indianapolis, IN 46237-3630

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

5796 Nashville Rd
Bowling Green, KY 42101-7546
Phone (270) 781-6477

Other practice location 2

6807 Louisville Rd
Bowling Green, KY 42101-8015
Phone (270) 781-6477

Other practice location 3

5575 Scottsville Rd
Bowling Green, KY 42104-6800
Phone (270) 781-6477

Other identifiers 1

IdentifierTypeStateIssuer
7100612860MedicaidKY

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
I20221114000574 IN Practitioner - Nurse Practitioner 0446580179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

7825 McFarland Lane
Suite a
Indianapolis, IN 46237-3632
Phone (317) 787-9471

Hospital & facility affiliations

  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71013246AINMDFamily Nurse Practitioner
3013498KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Dec 5, 2022 Accepting new patients
Franciscan Physician Network CurrentSince Dec 5, 2022 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

7825 McFarland Ln
Ste A
Indianapolis, IN 46237
Phone (317) 787-9471

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: dylansmith@ggc.allscriptsdirect.net
  • Direct secure messaging: dylan.smith@ggclinic.ikm.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1366094849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 MCFARLAND LN STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373630",
            "telephone_number": "317-888-5500",
            "fax_number": "317-887-4806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5796 Nashville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421017546",
            "country_code": "US",
            "telephone_number": "270-781-6477",
            "fax_number": "270-781-6479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6807 Louisville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421018015",
            "country_code": "US",
            "telephone_number": "270-781-6477",
            "fax_number": "270-781-6479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5575 Scottsville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421046800",
            "country_code": "US",
            "telephone_number": "270-781-6477",
            "fax_number": "270-781-6479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DYLAN",
        "middle_name": "RANDOLPH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013498",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013246A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100612860",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.