Individual provider Active NPI

Donna L Doerffler, NP

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1467711705
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71004077A Issued in IN
Practice address
7910 E Washington St
Indianapolis, IN 46219-6803
Phone
(317) 355-3201
Fax
(317) 355-3217
NPI assigned
May 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71004077A IN Primary

Addresses

Primary practice location

7910 E Washington St
Indianapolis, IN 46219-6803

Mailing address

6626 E 75TH St
Ste 500
Indianapolis, IN 46250-2890

Other identifiers 2

IdentifierTypeStateIssuer
201093910MedicaidIN
P01424303OtherINRR PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ddoerffler59119@eCommunityDirect.com Community Hospitals of Indiana, INC

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
I20121005000134 IN Practitioner - Nurse Practitioner 8325297443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Allergy and Asthma Center, PCGroup PAC ID 4587567391, 6 clinicians

Practice addresses (Care Compare)

13050 Parkside Dr
Suite 101
Fishers, IN 46038-8247
Phone (317) 621-2890

3125 S Scatterfield Rd
Anderson, IN 46013-1804

7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444

7222 Eagle Rd
Fort Wayne, IN 46804-2222
Phone (260) 432-5005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Center, PC CurrentSince Feb 9, 2015 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Dec 1, 2012 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Dec 1, 2012 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

10415 Leo Rd
Fort Wayne, IN 46825
Phone (260) 432-5005

7222 Engle Rd
Fort Wayne, IN 46804
Phone (260) 432-5005

7910 E Washington St
Indianapolis, IN 46219
Phone (317) 355-1330

8177 Clearvista Pkwy
#100
Indianapolis, IN 46256
Phone (317) 621-7800

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

2280 Provident Ct
Ste A
Warsaw, IN 46580
Phone (260) 432-5005

Interoperability endpoints

  • Direct secure messaging: ddoerffler59119@ecommunitydirect.com
  • Direct secure messaging: doerffler.donna.011.0140061@aac.meditab.direct-ci.com

Organizations & group practices 3

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": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1467711705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462196803",
            "telephone_number": "317-355-3201",
            "fax_number": "317-355-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERFFLER",
        "first_name": "DONNA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004077A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201093910",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PTAN",
            "identifier": "P01424303",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddoerffler59119@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Hospitals of Indiana, INC",
            "address_1": "7910 E Washington St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462196803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.