Active NPI
Mindy J Long, NP
- Neonatal Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 71005631A
- Practice address
- 8111 S Emerson Ave
Indianapolis, IN 46237-8601 - Phone
- (317) 865-5146
- Fax
- (317) 865-5148
- NPI assigned
- Jul 29, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 71005631A | IN | Primary |
| Neonatal Nurse Practitioner | 363LN0000X | 28182964A | IN |
Addresses
Primary practice location
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Mailing address
PO Box 778912
Chicago, IL 60677-8912
Phone (317) 777-6435
Other practice location 1
720 Eskenazi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-7666
Other practice location 2
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 335-2434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201331210 | Medicaid | IN |
Other names 1
- Mindy J Shute
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mlong40134@direct.eskenazihealth.edu | ||
| Direct Messaging Address | mlong7@direct.iuhealth.org | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28182964A | IN | MD | Neonatal Nurse Practitioner |
| 71005631A | IN | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pediatric Associates, Inc. | Current | Accepting new patients | |
| Eskenazi Medical Group Inc | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Past | Accepting new patients |
Locations
2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000
8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261
720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316
2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000
Interoperability endpoints
- mlong40134@direct.eskenazihealth.edu
- mlong180293@direct.franciscanalliance.org
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.
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- NPI 1063179844
-
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1396120523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 778912",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606778912",
"telephone_number": "317-777-6435",
"fax_number": "317-777-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 S EMERSON AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378601",
"telephone_number": "317-865-5146",
"fax_number": "317-865-5148"
}
],
"practiceLocations": [
{
"address_1": "720 Eskenazi Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025166",
"country_code": "US",
"telephone_number": "317-880-7666",
"fax_number": "317-880-0448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2651 E Discovery Pkwy",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474089059",
"country_code": "US",
"telephone_number": "812-335-2434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "MINDY",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "IN",
"license": "71005631A",
"primary": true
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "IN",
"license": "28182964A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201331210",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlong40134@direct.eskenazihealth.edu",
"affiliation": "N",
"address_1": "720 Eskenazi Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025166",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlong7@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2651 E Discovery Pkwy",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474089059",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MINDY",
"last_name": "SHUTE",
"middle_name": "J",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.