Individual provider Active NPI

Michelle Louise Lovelace

  • Physician Assistant
  • Carmel, IN
National Provider Identifier
1609446475
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003521 Issued in IN
Practice address
13000 N Meridian St Ste 101
Carmel, IN 46032-1404
Phone
(317) 848-1402
Fax
(317) 575-6912
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10003521 IN Primary

Addresses

Primary practice location

13000 N Meridian St Ste 101
Carmel, IN 46032-1404

Mailing address

13000 N Meridian St Ste 101
Carmel, IN 46032-1404
Phone (317) 848-1402

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
I20220217001852 IN Practitioner - Physician Assistant 5991198871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Health Network of Indiana LLCGroup PAC ID 9830093533, 204 clinicians

Practice addresses (Care Compare)

10649 Bennett Pkwy
Zionsville, IN 46077-7849
Phone (317) 843-6700

10995 Allisonville Rd
Suite 100
Fishers, IN 46038-2616
Phone (317) 842-7928

13000 N Meridian St
Carmel, IN 46032-1404

4405 Allisonville Rd
Indianapolis, IN 46205-2415
Phone (317) 613-0918

7151 Marsh Rd
Suite 150
Indianapolis, IN 46278-1631
Phone (317) 216-2021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10003521INMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC CurrentSince Mar 7, 2022 Accepting new patients
American Health Network of Indiana, LLC CurrentSince Mar 7, 2022 Accepting new patients
American Health Network of Indiana, LLC Past Accepting new patients

Locations

10689 N Pennsylvania St
Ste 200
Carmel, IN 46280
Phone (317) 580-6309

13000 N Meridian St
Ste 101
Carmel, IN 46032
Phone (317) 208-3855

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

4405 Allisonville Rd
Indianapolis, IN 46205
Phone (317) 213-5937

4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500

10649 Bennett Pkwy
Zionsville, IN 46077
Phone (317) 843-6700

Interoperability endpoints

  • Direct secure messaging: mbliley211584@direct.optum.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1609446475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 N MERIDIAN ST STE 101",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321404",
            "telephone_number": "317-848-1402",
            "fax_number": "317-575-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 N MERIDIAN ST STE 101",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321404",
            "telephone_number": "317-848-1402",
            "fax_number": "317-575-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELACE",
        "first_name": "MICHELLE",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.