Individual provider Active NPI

Christina Marie Haisley, APRN

  • Geriatric Psychiatry Physician
  • Indianapolis, IN
National Provider Identifier
1427928407
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
28180301A Issued in IN
Practice address
429 E Vermont St Ste 110
Indianapolis, IN 46202-3685
Phone
(317) 445-3575
NPI assigned
Nov 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 28180301A IN Primary

Addresses

Primary practice location

429 E Vermont St Ste 110
Indianapolis, IN 46202-3685

Mailing address

1414 Cascades Dr
Greenfield, IN 46140-5003
Phone (765) 914-9425

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
I20260107003813 IN Practitioner - Nurse Practitioner 3274019484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Mobile MD Psychiatric Services LLCGroup PAC ID 9638564750, 18 clinicians

Practice addresses (Care Compare)

429 E Vermont St
Suite 110
Indianapolis, IN 46202-3685
Phone (317) 559-0950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28180301AINMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Mobile MD Psychiatric Services LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

429 E Vermont St
Ste 110
Indianapolis, IN 46202
Phone (317) 536-2290

Organizations & group practices 1

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": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1427928407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 CASCADES DR",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461405003",
            "telephone_number": "765-914-9425",
            "fax_number": "765-914-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E VERMONT ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023685",
            "telephone_number": "317-445-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAISLEY",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "IN",
            "license": "28180301A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.