Individual provider Active NPI

Gary Wharton, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Avon, IN
National Provider Identifier
1497366942
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71010254A Issued in IN
Practice address
7114 Galen Dr W Ste 108
Avon, IN 46123-8659
Phone
(317) 556-0309
Fax
(317) 745-3306
NPI assigned
Aug 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71010254A IN Primary

Addresses

Primary practice location

7114 Galen Dr W Ste 108
Avon, IN 46123-8659

Mailing address

4197 Victoria LN
Avon, IN 46123-9400
Phone (317) 370-7804

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
I20210219001428 IN Practitioner - Nurse Practitioner 1850706086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Behavioral Innovations LLCGroup PAC ID 6608286356, 12 clinicians

Practice addresses (Care Compare)

1051 Southfield Dr
Plainfield, IN 46168-2955
Phone (844) 991-9900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71010254AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Behavioral Innovations LLC CurrentSince Jun 7, 2021 Accepting new patients

Locations

1051 Southfield Dr
Plainfield, IN 46168
Phone (844) 991-9900

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": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1497366942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4197 VICTORIA LN",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239400",
            "telephone_number": "317-370-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 GALEN DR W STE 108",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238659",
            "telephone_number": "317-556-0309",
            "fax_number": "317-745-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHARTON",
        "first_name": "GARY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71010254A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.