Organization Active NPI

St. Francis Mooresville Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Mooresville, IN
National Provider Identifier
1558501916
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ST. FRANCIS MOORESVILLE SURGERY CENTER, LLC
Practice address
1215 Hadley Rd
Suite 100
Mooresville, IN 46158-2905
Phone
(317) 834-9923
Fax
(317) 834-9501
NPI assigned
Feb 25, 2009
Last updated
Jun 5, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SISTERS OF ST. FRANCIS HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Chandler Shirer
Title
Ceo
Phone
(317) 528-5910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1215 Hadley Rd
Suite 100
Mooresville, IN 46158-2905

Mailing address

1215 Hadley Rd
Suite 100
Mooresville, IN 46158-2905
Phone (317) 834-9923

Other identifiers 1

IdentifierTypeStateIssuer
200978570AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100318000740 IN Part B Supplier - Ambulatory Surgical Center 5395870117 Practice locations: Mooresville, IN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
St Francis Mooresville Surgery Center LLCCCN 15C0001168
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1065485St Francis Mooresville Ambulatory Surgery Ctr LLC1215 Hadley Rd Ste 100, Mooresville, IN 46158Certificate of waiverMar 1, 2027

National Provider Directory

National Provider Directory
Part of
St Francis Behavioral H

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1215 Hadley Rd
Ste 100
Mooresville, IN 46158
Phone (317) 834-9923

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1558501916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 HADLEY RD",
            "address_2": "SUITE 100",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582905",
            "telephone_number": "317-834-9923",
            "fax_number": "317-834-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HADLEY RD",
            "address_2": "SUITE 100",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582905",
            "telephone_number": "317-834-9923",
            "fax_number": "317-834-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. FRANCIS MOORESVILLE SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SISTERS OF ST. FRANCIS HEALTH SERVICES, INC.",
        "enumeration_date": "2009-02-25",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "SHIRER",
        "authorized_official_first_name": "CHANDLER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-528-5910"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200978570A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.