Active NPI
Candice Liane Closser, FNP
- Family Nurse Practitioner
- Fortville, IN
National Provider Identifier
1447730460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71008350A
- Practice address
- 545 Vitality Dr Ste 100
Fortville, IN 46040-1373 - Phone
- (317) 621-9220
- Fax
- (317) 621-9222
- NPI assigned
- Aug 20, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28174248A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71008350A | IN | Primary |
Addresses
Primary practice location
545 Vitality Dr Ste 100
Fortville, IN 46040-1373
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
7481 N Shadeland Ave Ste A
Indianapolis, IN 46250-2077
Phone (317) 827-0833
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cclosser1447730460@direct.d4d.ihie.us | Health Information Exchange (HIE) |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181207002596 | IN | Practitioner - Nurse Practitioner | 3375887946 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jane Pauley Community Health Center Inc
Practice addresses (Care Compare)
8931 E 30TH St
Indianapolis, IN 46219-1501
Phone (463) 232-7183
Hospital & facility affiliations
- Community Hospital North
- Community Hospital East
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28174248A | IN | MD | Registered Nurse |
| 71008350A | IN | MD | Family Nurse Practitioner |
Interoperability endpoints
- cclosser1447730460@direct.d4d.ihie.us
- cclosser249735@direct.ochin.org
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.
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1730488818
IN
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": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1447730460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 VITALITY DR STE 100",
"city": "FORTVILLE",
"state": "IN",
"postal_code": "460401373",
"telephone_number": "317-621-9220",
"fax_number": "317-621-9222"
}
],
"practiceLocations": [
{
"address_1": "7481 N Shadeland Ave Ste A",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462502077",
"country_code": "US",
"telephone_number": "317-827-0833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLOSSER",
"first_name": "CANDICE",
"middle_name": "LIANE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28174248A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71008350A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cclosser1447730460@direct.d4d.ihie.us",
"affiliation": "N",
"endpointDescription": "IHIE",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7481 N Shadeland Ave Ste A",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462502077",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fortville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.