Individual provider Active NPI

Rachel Dawn Botkin, ANP

  • Adult Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1417230970
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71003701A Issued in IN
Practice address
7322 Noel Rd
Indianapolis, IN 46278-1515
Phone
(317) 653-0232
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71003701A IN Primary

Addresses

Primary practice location

7322 Noel Rd
Indianapolis, IN 46278-1515

Mailing address

7612 Davis LN
Indianapolis, IN 46236-8876
Phone (317) 313-5597

Other practice location 1

5929 Lakeside Blvd
Indianapolis, IN 46278-1996
Phone (317) 653-0232

Other practice location 2

12168 N Mann Rd
Mooresville, IN 46158-7052
Phone (317) 653-0232

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
I20120726000268 IN Practitioner - Nurse Practitioner 7012173610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

8102 Clearvista Pkwy
Indianapolis, IN 46256-1661
Phone (317) 849-8222

Hospital & facility affiliations

  • Fairbanks Hospital, Indianapolis, IN, CCN 150179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003701AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jul 8, 2021 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 8, 2021 Accepting new patients
Fairbanks Hospital, Inc. CurrentSince Jul 16, 2012 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

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

8102 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 572-9319

Interoperability endpoints

  • Direct secure messaging: rbotkin515836@ecommunitydirect.com

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.

Hospital & facility affiliations 1

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1417230970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7612 DAVIS LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368876",
            "telephone_number": "317-313-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7322 NOEL RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781515",
            "telephone_number": "317-653-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5929 Lakeside Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462781996",
            "country_code": "US",
            "telephone_number": "317-653-0232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12168 N Mann Rd",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "IN",
            "postal_code": "461587052",
            "country_code": "US",
            "telephone_number": "317-653-0232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTKIN",
        "first_name": "RACHEL",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71003701A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.