Individual provider Active NPI

Rachel Celeste Henderson, APN

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1609365014
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71012685A Issued in IN
Practice address
8325 S Emerson Ave Ste B1
Indianapolis, IN 46237-8559
Phone
(317) 742-6575
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71012685A IN Primary
Family Nurse Practitioner 363LF0000X 209016551 IL

Addresses

Primary practice location

8325 S Emerson Ave Ste B1
Indianapolis, IN 46237-8559

Mailing address

8325 S Emerson Ave Ste B1
Indianapolis, IN 46237-8559

Other practice location 1

1466 W Oak St
Zionsville, IN 46077-1800
Phone (317) 873-6438

Other identifiers 1

IdentifierTypeStateIssuer
71012685AOtherINSTATE LICENSE

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
I20220722001698 IN Practitioner - Nurse Practitioner 2466708417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8325 S Emerson Ave
Suite B1
Indianapolis, IN 46237-8559
Phone (317) 742-6575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71012685AINMDNurse Practitioner
209016551ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indy Wound Center for Limb Preservation & Reconstruction LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

8325 S Emerson Ave
Ste B1
Indianapolis, IN 46237
Phone (317) 742-6575

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1609365014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 S EMERSON AVE STE B1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 S EMERSON AVE STE B1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378559",
            "telephone_number": "317-742-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1466 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Zionsville",
            "state": "IN",
            "postal_code": "460771800",
            "country_code": "US",
            "telephone_number": "317-873-6438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "RACHEL",
        "middle_name": "CELESTE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012685A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "71012685A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.