Individual provider Active NPI

Allison Marie Brockley, BSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1669049649
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28197769A Issued in IN
Practice address
1400 N Ritter Ave Ste 431
Indianapolis, IN 46219-3050
Phone
(317) 355-9220
Fax
(317) 355-9230
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28197769A IN Primary

Addresses

Primary practice location

1400 N Ritter Ave Ste 431
Indianapolis, IN 46219-3050

Mailing address

4915 Abigail Dr
Westfield, IN 46062-9348
Phone (317) 946-7362

Other identifiers 1

IdentifierTypeStateIssuer
300053617MedicaidIN

Other names 1

  • Allison Marie Savitsky Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL asavitsk@ecommunity.com Direct

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
I20210825000950 IN Practitioner - Nurse Practitioner 6608271986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

1400 N Ritter Ave
Suite 431
Indianapolis, IN 46219-3050
Phone (317) 355-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28197769AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Aug 9, 2021 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Aug 9, 2021 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

1400 N Ritter Ave
Ste 431
Indianapolis, IN 46219
Phone (317) 355-3090

1011 Main St
Ste 255
Speedway, IN 46224
Phone (317) 355-9220

Interoperability endpoints

  • Direct secure messaging: asavitsky5153@ecommunitydirect.com

Organizations & group practices 2

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1669049649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 ABIGAIL DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460629348",
            "telephone_number": "317-946-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N RITTER AVE STE 431",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193050",
            "telephone_number": "317-355-9220",
            "fax_number": "317-355-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKLEY",
        "first_name": "ALLISON",
        "middle_name": "MARIE",
        "credential": "BSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28197769A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300053617",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "asavitsk@ecommunity.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1400 N Ritter Ave Ste 431",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462193050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "SAVITSKY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.