Individual provider Active NPI

Brenda Sue Deangelis Boyd

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1497309942
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71009189A Issued in IN
Practice address
2902 W 86TH St Ste 220
Indianapolis, IN 46268-2196
Phone
(317) 343-8607
Fax
(877) 473-0054
NPI assigned
Aug 1, 2019
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71009189A IN Primary
Gerontology Nurse Practitioner 363LG0600X 71009189A IN

Addresses

Primary practice location

2902 W 86TH St Ste 220
Indianapolis, IN 46268-2196

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (844) 630-0700

Other practice location 1

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-4372

Other practice location 2

8111 S Emerson Ave Fl 5
Indianapolis, IN 46237-8601
Phone (317) 528-8930

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bdeangelis481748@Direct.FranciscanAlliance.org Direct
Direct Messaging Address brenda.boyd@centerwell.eclinicaldirectplus.com

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
I20190923001968 IN Practitioner - Nurse Practitioner 9032449707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71009189AINMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Nov 10, 2025 Accepting new patients
Centerwell Senior Primary Care in PC CurrentSince Jun 24, 2024 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Nurse Practitioner CurrentSince Nov 10, 2025 Accepting new patients
Centerwell Senior Primary Care in PC Current Accepting new patients
Saint Vincent Physician Services, Inc. Nurse Practitioner Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

2902 W 86th St
Ste 220
Indianapolis, IN 46268
Phone (317) 343-8607

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

305 New Albany Plz
New Albany, IN 47150
Phone (812) 668-8133

Interoperability endpoints

  • Direct secure messaging: bdeangelis481748@direct.franciscanalliance.org

Organizations & group practices 5

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1497309942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "844-630-0700",
            "fax_number": "877-374-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 W 86TH ST STE 220",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682196",
            "telephone_number": "317-343-8607",
            "fax_number": "877-473-0054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 W 86TH ST",
            "address_purpose": "LOCATION",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601902",
            "country_code": "US",
            "telephone_number": "317-338-4372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8111 S Emerson Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462378601",
            "country_code": "US",
            "telephone_number": "317-528-8930",
            "fax_number": "317-528-8532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEANGELIS BOYD",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009189A",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71009189A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdeangelis481748@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8111 S Emerson Ave Fl 5",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462378601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brenda.boyd@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2902 W 86th St Ste 220",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462682196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.