Individual provider Active NPI

Elizabeth Rush, NP

  • Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1396143012
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71005304A Issued in IN
Practice address
11 Municipal Dr Ste 200
Fishers, IN 46038-1634
Phone
(317) 526-0107
NPI assigned
Dec 11, 2014
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71005304A IN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71005304A IN

Addresses

Primary practice location

11 Municipal Dr Ste 200
Fishers, IN 46038-1634

Mailing address

14276 Serra Vista PT
Fishers, IN 46040-8123

Other identifiers 2

IdentifierTypeStateIssuer
201271870MedicaidIN
P01456899OtherINRR MEDICARE

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
I20150130002063 IN Practitioner - Nurse Practitioner 1355665928 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71005304AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physician Network Urgent Care LLC CurrentSince Aug 3, 2025 Accepting new patients
Renew Serenity Mental Health & Wellness LLC Nurse Practitioner Current Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jan 5, 2015 Accepting new patients
Roadways to Recovery Inc., Nurse Practitioner CurrentSince Nov 9, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jan 5, 2015 Accepting new patients
Major Hospital Past Accepting new patients
Connections, Inc Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

2620 Industrial Dr
Bedford, IN 47421
Phone (812) 583-6540

11 Municipal Dr
Ste 200
Fishers, IN 46038
Phone (317) 663-0683

821 N State Road 135
Greenwood, IN 46142
Phone (317) 560-4300

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

8177 Clearvista Pkwy
#100
Indianapolis, IN 46256
Phone (317) 621-7800

9669 E 146th St
Ste 250
Noblesville, IN 46060
Phone (317) 621-4657

Interoperability endpoints

  • Direct secure messaging: erush17147@ecommunitydirect.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1396143012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14276 SERRA VISTA PT",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460408123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MUNICIPAL DR STE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381634",
            "telephone_number": "317-526-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005304A",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71005304A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201271870",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01456899",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.