Individual provider Active NPI

Mary Greenwalt

  • Family Nurse Practitioner
  • Greenfield, IN
National Provider Identifier
1417475450
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007479A Issued in IN
Practice address
300 E Boyd Ave Ste 201
Greenfield, IN 46140-2818
Phone
(317) 462-5112
NPI assigned
Aug 30, 2017
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71007479A IN Primary
Registered Nurse 163W00000X 28145063A IN

Addresses

Primary practice location

300 E Boyd Ave Ste 201
Greenfield, IN 46140-2818

Mailing address

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3127

Other practice location 1

1400 N Ritter Ave Ste 520
Indianapolis, IN 46219-3052
Phone (317) 355-1234

Other practice location 2

1100 Reid Pkwy Ste 215
Richmond, IN 47374-1157
Phone (765) 939-9331

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
I20170919001538 IN Practitioner - Nurse Practitioner 8921372699 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

1100 Reid Pkwy
Suite 215
Richmond, IN 47374-1157
Phone (765) 939-9331

300 E Boyd Ave
Suite 201
Greenfield, IN 46140-2818
Phone (317) 462-5112

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28145063AINMDRegistered Nurse
71007479AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Family CurrentSince Feb 1, 2026 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Jan 9, 2023 Accepting new patients
Reid Physician Associates, Inc CurrentSince Jan 9, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 23, 2017 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 23, 2017 Accepting new patients
Major Hospital Past Accepting new patients
At Home Podiatry, LLC Family PastSince Jul 19, 2012 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

300 E Boyd Ave
Ste 201
Greenfield, IN 46140
Phone (317) 462-5112

1400 N Ritter Ave
Ste 375B
Indianapolis, IN 46219
Phone (317) 355-9370

1400 N Ritter Ave
Ste 520
Indianapolis, IN 46219
Phone (317) 355-1234

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

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1100 Reid Pkwy
Ste 215
Richmond, IN 47374
Phone (765) 939-9331

1310 N Main St
Rushville, IN 46173
Phone (765) 932-7075

Interoperability endpoints

  • Direct secure messaging: mgreenwalt471619@reidhealth.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1417475450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-983-3127",
            "fax_number": "654-983-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE STE 201",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402818",
            "telephone_number": "317-462-5112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Ritter Ave Ste 520",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462193052",
            "country_code": "US",
            "telephone_number": "317-355-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Reid Pkwy Ste 215",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-939-9331",
            "fax_number": "765-939-9314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWALT",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007479A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28145063A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.