Individual provider Active NPI

Alla Yuryevna Soyfer, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1679636344
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002304A Issued in IN
Practice address
1375 W 86TH St
Indianapolis, IN 46260-2101
Phone
(866) 389-2727
NPI assigned
Dec 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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 1224618 IN
Family Nurse Practitioner 363LF0000X 71002304A IN Primary

Addresses

Primary practice location

1375 W 86TH St
Indianapolis, IN 46260-2101

Mailing address

PO Box 775985
Chicago, IL 60677-5985
Phone (317) 770-6900

Other practice location 1

205 Noble Creek Dr
Noblesville, IN 46060-3117
Phone (317) 773-8483

Other identifiers 1

IdentifierTypeStateIssuer
200845540MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asoyfer791538@DirectC.mercy.net 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
I20070417000191 IN Practitioner - Nurse Practitioner 0840395000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

205 Noble Creek Dr
Riverview Health Physicians Prmry Care Nobl
Noblesville, IN 46060-3117
Phone (317) 773-8483

395 Westerfield Rd
Noblesville, IN 46060-1425

395 Westfield Dr
Noblesville, IN 46060-1425

395 Westfield FR
RM 2419
Noblesville, IN 46060-1425
Phone (317) 776-7157

395 Westfield Rd B
OB/GYN Specialists of Indiana
Noblesville, IN 46060-1425
Phone (317) 776-9440

395 Westfield Rd D
Noblesville Diabetic and Endocrinolog
Noblesville, IN 46060-1425
Phone (317) 776-3520

395 Westfield Rd RM
Noblesville, IN 46060-1425

587 A Westfield Rd
Riverview Health Care Coordination Services
Noblesville, IN 46060-1321
Phone (317) 770-3773

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1224618INMDNurse Practitioner
71002304AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Dec 5, 2021 Accepting new patients
Riverview Hospital CurrentSince Jan 21, 2014 Accepting new patients
Riverview Hospital Nurse Practitioner CurrentSince Sep 27, 2020 Accepting new patients
Riverview Hospital Past Accepting new patients
Mindgent Healthcare Clinics, LLC Nurse Practitioner Past Accepting new patients
Major Hospital Past Accepting new patients
Low Cost RX Inc Past Accepting new patients

Locations

865 Westfield Rd
Ste A
Noblesville, IN 46062
Phone (317) 773-2222

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

587 Westfield Rd
Noblesville, IN 46060

865 Westfield Rd
Noblesville, IN 46062
Phone (317) 770-1700

205 Noble Creek Dr
Noblesville, IN 46060
Phone (317) 773-8483

Interoperability endpoints

  • Direct secure messaging: asoyfer791538@directc.mercy.net

Organizations & group practices 7

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.

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": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1679636344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775985",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775985",
            "telephone_number": "317-770-6900",
            "fax_number": "317-770-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602101",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Noble Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460603117",
            "country_code": "US",
            "telephone_number": "317-773-8483",
            "fax_number": "317-776-0442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOYFER",
        "first_name": "ALLA",
        "middle_name": "YURYEVNA",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-17",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "1224618",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002304A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200845540",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asoyfer791538@DirectC.mercy.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "865 Westfield Rd",
            "address_2": "Suite A",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460628901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.