Tiffany Mathis

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

28217402A Issued in IN

Practice address

3525 E Hanna Ave
Indianapolis, IN 46237-1230

Phone

(317) 788-4261

NPI assigned

Feb 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Proactive Clinical PartnersGroup PAC ID 8527315852, 32 clinicians

Lifespan Advanced Care LLCGroup PAC ID 7911484944, 15 clinicians

Proactive Clinical Partners - AcoGroup PAC ID 5890154884, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital South, Inc. Hospital, Indianapolis, IN, CCN 150128

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lifespan Advanced Care LLC

  • Gerontology Nurse Practitioner
  • Carmel, IN
  • NPI 1558238345
  Medicare reassignment Care Compare group NPD
• Proactive Clinical Partners

  • Gerontology Nurse Practitioner
  • Indianapolis, IN
  • NPI 1366934242
  Medicare reassignment Care Compare group NPD
• Proactive Clinical Partners - Aco

  • Geriatric Medicine (Internal Medicine) Physician
  • Indianapolis, IN
  • NPI 1821709031
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Mississippi-TCS, Inc.

  • Internal Medicine Physician
  • St Augustine, FL
  • NPI 1023866597

  IN

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital South, Inc.

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1235109778
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1508620717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11313 USA PKWY STE E148",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379208",
            "telephone_number": "317-781-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 E HANNA AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462371230",
            "telephone_number": "317-788-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Hodgin Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473747443",
            "country_code": "US",
            "telephone_number": "765-939-3701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3154 S State Road 135",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461439609",
            "country_code": "US",
            "telephone_number": "317-535-3344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475463761",
            "country_code": "US",
            "telephone_number": "812-634-7750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1667 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460628723",
            "country_code": "US",
            "telephone_number": "317-770-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "937 Fry Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461421820",
            "country_code": "US",
            "telephone_number": "317-881-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 Reeves Rd",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IN",
            "postal_code": "461685501",
            "country_code": "US",
            "telephone_number": "317-838-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Marine Dr",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460165937",
            "country_code": "US",
            "telephone_number": "765-649-4558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477125431",
            "country_code": "US",
            "telephone_number": "812-985-9955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "559 W Longest St",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "IN",
            "postal_code": "474549670",
            "country_code": "US",
            "telephone_number": "812-723-2595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "868 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "IN",
            "postal_code": "461619633",
            "country_code": "US",
            "telephone_number": "819-948-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 S Sugar St",
            "address_purpose": "LOCATION",
            "city": "Brownstown",
            "state": "IN",
            "postal_code": "472202066",
            "country_code": "US",
            "telephone_number": "812-358-2504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 E Water St",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "IN",
            "postal_code": "460648551",
            "country_code": "US",
            "telephone_number": "765-788-2384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462270962",
            "country_code": "US",
            "telephone_number": "317-885-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11851 Cumberland Rd",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460378273",
            "country_code": "US",
            "telephone_number": "317-813-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Willow St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "IN",
            "postal_code": "474487013",
            "country_code": "US",
            "telephone_number": "812-988-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Jh Walker Dr",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "IN",
            "postal_code": "460648730",
            "country_code": "US",
            "telephone_number": "765-778-7501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 N Bell Trace Cir",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474084408",
            "country_code": "US",
            "telephone_number": "812-323-2858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323323",
            "country_code": "US",
            "telephone_number": "317-844-4211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 W 146th St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460749870",
            "country_code": "US",
            "telephone_number": "317-844-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504618",
            "country_code": "US",
            "telephone_number": "812-948-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1667 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460628723",
            "country_code": "US",
            "telephone_number": "317-770-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "28217402A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Mathias, BCBA
• Caroline Jill Mathis, LCSW
• Christany Alyce Mathis, RBT
• Joscelyn Elaine Mathis, MSW, LSW, FSW
• Russell E Mathis, R.PH., M.S.
• Carla Mathison, LCSW
• Mary Margaret Mathison, LCSW
• Anubhav Narain Mathur, MD/PHD
• Charles William Matias, MD
• Kate Matich

• Gerontology Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Gerontology Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.

Verify at the official NPI Registry.