Individual provider Active NPI

Monica Rae Deford, NP

  • Nurse Practitioner
  • Thorntown, IN
National Provider Identifier
1538869458
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71010678A Issued in IN
Practice address
151 E Bow St
Thorntown, IN 46071-1164
Phone
(765) 436-2400
NPI assigned
Mar 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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 71010678A IN Primary

Addresses

Primary practice location

151 E Bow St
Thorntown, IN 46071-1164

Mailing address

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

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
I20230414002061 IN Practitioner - Nurse Practitioner 2163897653 Reassigns benefits to 2 organizations

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
Community Physician Network Urgent Care LLCGroup PAC ID 1052819869, 80 clinicians

Practice addresses (Care Compare)

8177 Clearvista Pkwy
Suite 100
Indianapolis, IN 46256-1662
Phone (317) 621-7800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71010678AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2023 Accepting new patients
Community Physician Network Urgent Care LLC CurrentSince Dec 10, 2025 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

8890 E 116th St
Ste 130
Fishers, IN 46038
Phone (317) 621-6740

7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041

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

1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041

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

3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1538869458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E BOW ST",
            "city": "THORNTOWN",
            "state": "IN",
            "postal_code": "460711164",
            "telephone_number": "765-436-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFORD",
        "first_name": "MONICA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010678A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thorntown, IN

Sources for this page

Verify at the official NPI Registry.