Individual provider Active NPI

Vicki Lynn Lederle, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1508454778
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010807A Issued in IN
Practice address
9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365
Phone
(317) 574-4747
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71010807A IN Primary

Addresses

Primary practice location

9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365

Mailing address

9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365
Phone (317) 574-4747

Other practice location 1

2350 S Dixon Rd Ste 430
Kokomo, IN 46902-6428
Phone (765) 445-3120

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
I20210226000987 IN Practitioner - Nurse Practitioner 9931344777 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial HospitalGroup PAC ID 8123923281, 64 clinicians
Excellent Neurology ServiceGroup PAC ID 8921429960, 2 clinicians
Indiana Nephrology and Internal Medicine PCGroup PAC ID 2769389550, 35 clinicians

Practice addresses (Care Compare)

1201 Michigan Ave
Suite 170
Logansport, IN 46947-1585
Phone (574) 722-4331

255 E 90TH Dr
Merrillville, IN 46410-8144
Phone (219) 756-0400

9011 N Meridian St
Suite 225
Indianapolis, IN 46260-5365
Phone (317) 574-4747

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71010807AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excellent Neurology Service CurrentSince Oct 21, 2023 Accepting new patients
Indiana Nephrology and Internal Medicine, P.C. CurrentSince Oct 8, 2025 Accepting new patients
Parkview Logansport Hospital, Inc. CurrentSince Apr 4, 2022 Accepting new patients
Parkview Logansport Hospital, Inc. CurrentSince Apr 4, 2022 Accepting new patients

Locations

12800 Mississippi Pkwy
Ste C
Crown Point, IN 46307
Phone (219) 662-5560

8330 Naab Rd
Ste 234
Indianapolis, IN 46260
Phone (317) 875-0084

9011 N Meridian St
Ste 225
Indianapolis, IN 46260
Phone (317) 574-4747

2350 S Dixon Rd
Ste 430
Kokomo, IN 46902
Phone (765) 319-3681

3900 St Francis Way
Ste 200
Lafayette, IN 47905
Phone (765) 775-2800

130 Professional Ct
#D
Lafayette, IN 47905
Phone (219) 756-0400

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

1201 Michigan Ave
Ste 170
Logansport, IN 46947
Phone (574) 722-4331

1201 Michigan Ave
Ste 270
Logansport, IN 46947
Phone (574) 722-4921

255 E 90th Dr
Merrillville, IN 46410
Phone (219) 756-0400

Interoperability endpoints

  • Direct secure messaging: vlederle36047@direct.acumenmd.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1508454778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 N MERIDIAN ST STE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605365",
            "telephone_number": "317-574-4747",
            "fax_number": "317-574-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 N MERIDIAN ST STE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605365",
            "telephone_number": "317-574-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 S Dixon Rd Ste 430",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469026428",
            "country_code": "US",
            "telephone_number": "765-445-3120",
            "fax_number": "765-453-6889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDERLE",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010807A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.