Individual provider Active NPI

Lynn Collins

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1659731602
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
901472 Issued in MS
Practice address
8424 Naab Rd Ste 1L
Indianapolis, IN 46260-1954
Phone
(317) 338-7780
NPI assigned
Mar 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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 901472 MS Primary

Addresses

Primary practice location

8424 Naab Rd Ste 1L
Indianapolis, IN 46260-1954

Mailing address

8424 Naab Rd Ste 1L
Indianapolis, IN 46260-1954

Other practice location 1

4500 13th St
Gulfport, MS 39501-2515
Phone (228) 867-5201

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
I20200414001225 IN Practitioner - Nurse Practitioner 4385943976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cinqcare at Home PCGroup PAC ID 1456769330, 31 clinicians

Practice addresses (Care Compare)

Indianapolis, IN 46240
Phone (317) 429-0170

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
901472MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cinqcare at Home PC Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients
Care Medical Practice PLLC Nurse Practitioner CurrentSince Mar 1, 2025 Accepting new patients
Grace Divine, LLC Nurse Practitioner CurrentSince Jun 28, 2023 Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

9365 Counselors Row
Ste 210
Indianapolis, IN 46240
Phone (713) 269-4513

350 Massachusetts Ave
Unit 22
Indianapolis, IN 46204

8900 Keystone Xing
Ste 540
Indianapolis, IN 46240
Phone (317) 429-0170

907 N East St
Indianapolis, IN 46202
Phone (317) 644-3461

1919 E 52nd St
Ste 200
Indianapolis, IN 46205
Phone (317) 837-1906

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

Interoperability endpoints

  • Direct secure messaging: lynn.collins.1@32399.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1659731602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 NAAB RD STE 1L",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 NAAB RD STE 1L",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601954",
            "telephone_number": "317-338-7780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 13th St",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395012515",
            "country_code": "US",
            "telephone_number": "228-867-5201",
            "fax_number": "228-867-3152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "901472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.