Individual provider Active NPI

Wendy Carroll

  • Nurse Practitioner
  • Greenfield, IN
National Provider Identifier
1376245175
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71013723A Issued in IN
Practice address
328 Independence Rd
Greenfield, IN 46140-2918
Phone
(765) 524-1518
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71013723A IN Primary

Addresses

Primary practice location

328 Independence Rd
Greenfield, IN 46140-2918

Mailing address

328 Independence Rd
Greenfield, IN 46140-2918
Phone (765) 524-1518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, KS, CT, WI, IL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20240404001388 MN Practitioner - Nurse Practitioner 3072987619
I20240418000645 KS Practitioner - Nurse Practitioner 3072987619 Reassigns benefits to 1 organization
I20240419002707 CT Practitioner - Nurse Practitioner 3072987619
I20240503002268 WI Practitioner - Nurse Practitioner 3072987619
I20240528001830 IL Practitioner - Nurse Practitioner 3072987619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2407 N Callahan St
Wichita, KS 67205-1471
Phone (651) 505-6807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12803CTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Marciana Group CurrentSince Jan 16, 2024 Accepting new patients
United Woundcare Institute Minnesota PLLC CurrentSince Oct 13, 2025 Accepting new patients
Endeavor Comprehensive Care LLC Nurse Practitioner PastSince Nov 20, 2022 Accepting new patients
ND Consulting & Management, LLC Nurse Practitioner Past Accepting new patients

Locations

2760 W Peoria Ave
Phoenix, AZ 85029
Phone (309) 229-0799

910 Wolcott St
Ste 13
Waterbury, CT 06705
Phone (612) 263-9334

300 Peachtree St NE
Ste CS2
Atlanta, GA 30308
Phone (612) 263-9334

2407 SE Delaware Ave
Ankeny, IA 50021
Phone (515) 401-6219

1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334

6101 N Keystone Ave
Ste 100
Indianapolis, IN 46220
Phone (219) 315-6581

7131 W 135th St
Overland Park, KS 66223
Phone (651) 505-3807

6659 Schaefer Rd
Dearborn, MI 48126
Phone (248) 252-4568

445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105

1270 Northland Dr
Ste 250
Saint Paul, MN 55120
Phone (833) 642-0391

7235 Watson Rd
Saint Louis, MO 63119
Phone (314) 352-5367

3157 Farnam St
Ste 7104
Omaha, NE 68131
Phone (531) 222-7861

1325 N Rankin St
Appleton, WI 54911

1835 E Edgewood Dr
Ste 105
Appleton, WI 54913
Phone (920) 358-0821

Organizations & group practices 5

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1376245175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 INDEPENDENCE RD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402918",
            "telephone_number": "765-524-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 INDEPENDENCE RD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402918",
            "telephone_number": "765-524-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "WENDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71013723A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.