Individual provider Active NPI

Tina Renee Duncan, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1548626229
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71006026A Issued in IN
Practice address
11335 Fonthill Dr
Indianapolis, IN 46236-8627
Phone
(260) 416-2930
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AG1215114 IN
Adult Health Nurse Practitioner 363LA2200X AG1215114 IN
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 71006026A IN Primary

Addresses

Primary practice location

11335 Fonthill Dr
Indianapolis, IN 46236-8627

Mailing address

11335 Fonthill Dr
Indianapolis, IN 46236-8627
Phone (260) 416-2930

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
I20160210001354 IN Practitioner - Nurse Practitioner 6204130388 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

6720 Parkdale PL
Indianapolis, IN 46254-4668
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AG1215114INMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychplus Medical Associates, PLLC CurrentSince Jan 6, 2025 Accepting new patients
Assurance Health Indianapolis, LLC CurrentSince May 21, 2019 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Jan 6, 2025 Accepting new patients
Psychiatric Management Services Adult Health CurrentSince Jul 12, 2016 Accepting new patients
CNP Operating Co LLC CurrentSince Dec 30, 2023 Accepting new patients
S4 Specialty Consultants LLC CurrentSince Oct 17, 2022 Accepting new patients
Indiana United Psych LLC Psychiatric/Mental Health CurrentSince Nov 9, 2025 Accepting new patients

Locations

2725 Enterprise Dr
Anderson, IN 46013
Phone (317) 870-1396

14751 Carey Rd
Carmel, IN 46033
Phone (317) 575-2208

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

900 N High School Rd
Indianapolis, IN 46214
Phone (317) 982-3715

8465 Keystone Xing
Ste 210
Indianapolis, IN 46240

8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338

4102 Shore Dr
Indianapolis, IN 46254
Phone (317) 347-9051

2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 7

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": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1548626229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11335 FONTHILL DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368627",
            "telephone_number": "260-416-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11335 FONTHILL DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368627",
            "telephone_number": "260-416-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "TINA",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "AG1215114",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "AG1215114",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71006026A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.