Active NPI
Mary Greenwalt
- Family Nurse Practitioner
- Greenfield, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71007479A
- 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, 2026
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28145063A | IN | MD | Registered Nurse |
| 71007479A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Family | Current | Accepting new patients |
| Reid Physician Associates, Inc. | Current | Accepting new patients | |
| Reid Physician Associates, Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| At Home Podiatry, LLC | Family | Past | 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
- 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.
-
dba Reid Health Physician Associates
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
dba Ascension Medical Group St. Vincent
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
Family
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
dba Reid Health X-Ray Winchester
- Radiology Clinic/Center
- Winchester, IN
- NPI 1417653221
-
dba Ascension Medical Group St. Vincent
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
dba AHP Foot & Wound Care Specialists
- Podiatrist
- Indianapolis, IN
- NPI 1659626265
Family
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenfield, IN
- NPI 1467485003
-
dba Reid Health
- General Acute Care Hospital
- Richmond, IN
- NPI 1063457380
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.