Individual provider Active NPI

Ashley Garrett

  • Family Nurse Practitioner
  • Lafayette, IN
National Provider Identifier
1407593171
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012564A Issued in IN
Practice address
833 Park East Blvd
Lafayette, IN 47905-0785
Phone
(765) 743-4400
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012564A IN Primary

Addresses

Primary practice location

833 Park East Blvd
Lafayette, IN 47905-0785

Mailing address

21 Eastbrook BND Ste 218
Peachtree City, GA 30269-1546

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
I20220602002981 IN Practitioner - Nurse Practitioner 8123406105 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Li Consulting LLCGroup PAC ID 0143619908, 7 clinicians
Impact Physician Group Indiana LLCGroup PAC ID 6608111026, 25 clinicians

Practice addresses (Care Compare)

427 Main St
Suite 210
Lafayette, IN 47901-1369
Phone (765) 413-2831

833 Park E Blvd
Lafayette, IN 47905-0785
Phone (847) 821-6828

Merit-based Incentive Payment System (MIPS)

Final score
54.43 of 100Reported as group
Quality
50.86
Improvement activities
0
Cost
80.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71012564AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
In Charge Medical Professionals LLC CurrentSince Aug 1, 2022 Accepting new patients
Impact Physician Group, Indiana LLC CurrentSince May 24, 2022 Accepting new patients
Provider Partners Care Management LP CurrentSince Oct 1, 2024 Accepting new patients
Thomas Li Consulting LLC CurrentSince Jul 13, 2022 Accepting new patients

Locations

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

13219 N Meridian St
Carmel, IN 46032
Phone (765) 751-5253

950 N Lakeview Dr
Greensburg, IN 47240
Phone (812) 662-7778

8060 Knue Rd
Indianapolis, IN 46250
Phone (317) 782-6669

1700 W 10th St
Indianapolis, IN 46222
Phone (317) 397-1718

4141 Shore Dr
Indianapolis, IN 46254
Phone (317) 329-2000

427 Main St
Lafayette, IN 47901
Phone (765) 413-2831

833 Park East Blvd
Lafayette, IN 47905
Phone (765) 441-3168

427 Main St
Ste 210
Lafayette, IN 47901
Phone (765) 404-8099

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Interoperability endpoints

  • Direct secure messaging: ashley.garrett.1@25124.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25124/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1407593171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EASTBROOK BND STE 218",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 PARK EAST BLVD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479050785",
            "telephone_number": "765-743-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012564A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.