Franciscan Health Indianapolis & Mooresville
Organization Active NPI Community/Retail Pharmacy · Indianapolis, IN
NPI 1699159491 · NPPES record last updated Jan 9, 2025
Key facts
- NPI
- 1699159491
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- FRANCISCAN HEALTH INDIANAPOLIS & MOORESVILLE
- Practice address
- 8111 S Emerson Ave
Indianapolis, IN 46237-8601 - Phone
- (317) 528-6700
- Fax
- (317) 528-6701
- NPI assigned
- Jul 13, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- FRANCISCAN HEALTH INDIANAPOLIS & MOORESVILLE
Authorized official
- Name
- Amy Herron
- Title
- Chief Financial Officer
- Phone
- (317) 528-6877
Owned or controlled facilities with NPI records 29
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 17
Member of 1
Practitioners 38
-
Derek Bast, DO
-
Tyler Jon Beach, DO
-
Mark Denardin, DO
-
Jarron J Lincoln, DO
-
Josh Rainey, PHD
-
John C. Rau, M.D.
-
Jason Edward Rieser, M.D.
-
Rachel Walters, PSYD
-
Matthew D Wolf, MD
-
Kristin Lenee Wood, M.D.
-
Stacey W Lockard, M.D.
-
Brittani M Corbisiero, D.O.
-
Paul E Driscoll, MD
-
Elise Rose Laroche, M.D.
-
Manish Mannan, MD
-
Greg A Miller, MD
-
Michael J. Mooney, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IN
All facility ownership & control disclosures 26
| Facility | Type | Role | Since |
|---|---|---|---|
| Franciscan Health Lafayette |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2003 |
| Franciscan Health Lafayette Inpatient Rehabilitation Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2003 |
| Franciscan Health Mooresville |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
| Franciscan Health Indianapolis |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 20, 1995 |
| Franciscan Health Crawfordsville |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2007 |
| Franciscan Health Michigan City |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 19, 1974 |
| Franciscan Health Dyer |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2007 |
| Franciscan Health Crown Point |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2007 |
| Franciscan Health Dyer |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 19, 1974 |
| Franciscan Health Crawfordsville |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1999 |
| Franciscan Health Olympia Fields |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 17, 2014 |
| Franciscan St. James Health |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1985 |
| Franciscan Health Dyer |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 19, 1974 |
| Franciscan Health Indianapolis |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Franciscan Healthcare-Munster |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2013 |
| Franciscan Health Rensselaer, Inc. |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 31, 2015 |
| Franciscan Health Rensselaer, Inc. |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 31, 2015 |
| Franciscan Health Crown Point |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 1, 2007 Nov 1, 2007 |
| Franciscan VNS Home Care, Inc. |
Home health agency | 5% Or Greater Direct Ownership Interest | Jun 2, 2011 |
| Franciscan Home Care |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jun 23, 2008 |
| Franciscan Home Care |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Sep 19, 1974 |
| Franciscan Home Care |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Apr 11, 1985 |
| Franciscan Hospice Care |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jun 23, 2008 |
| Franciscan Hospice Care |
Hospice | Operational/Managerial Control (100%) | Sep 18, 1974 |
| Franciscan Wheatfield Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 31, 2015 |
| Franciscan Brook Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 20, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160406002281 | IN | Part B Supplier - Mass Immunization (Roster Biller Only) | 4587568209 |
4 other NPIs on this enrollment Practice locations: Crown Point, IN; Munster, IN; Michigan City, IN; Lafayette, IN; Indianapolis, IN |
| O20250905001750 | IN | DME Supplier - Pharmacy | 0547154130 | Practice locations: Indianapolis, IN |
| O20251231002191 | IN | Part B Supplier - Pharmacy | 0547154130 | Practice locations: Indianapolis, IN |
National Provider Directory
- Tax ID family
- St Francis Behavioral Health
- Part of
- St Francis Behavioral Health
Locations
1500 Albany St
Ste 1105
Beech Grove, IN 46107
Phone (317) 783-8470
1500 Albany St
Ste 1109
Beech Grove, IN 46107
Phone (317) 782-7187
2030 Churchman Ave
#B
Beech Grove, IN 46107
Phone (317) 528-8572
10777 Illinois St
Carmel, IN 46032
Phone (317) 528-5400
123 2nd St
Ste 110
Columbus, IN 47201
Phone (812) 375-6328
5330 E Stop 11 Rd
Indianapolis, IN 46237
Phone (317) 893-1920
610 E Southport Rd
Ste 101
Indianapolis, IN 46227
Phone (317) 783-8470
5230 E Stop 11 Rd
Ste 190A
Indianapolis, IN 46237
Phone (317) 783-8470
5255 E Stop 11 Rd
Ste 210
Indianapolis, IN 46237
Phone (317) 528-7187
5255 E Stop 11 Rd
Ste 260
Indianapolis, IN 46237
Phone (317) 865-0055
5255 E Stop 11 Rd
Ste 230
Indianapolis, IN 46237
5255 E Stop 11 Rd
Ste 240
Indianapolis, IN 46237
Phone (317) 865-5799
5255 E Stop 11 Rd
Ste 301
Indianapolis, IN 46237
Phone (317) 528-5800
8414 Franciscan Ln
Indianapolis, IN 46237
Phone (317) 528-2092
5230 E Stop 11 Rd
Ste 390
Indianapolis, IN 46237
8051 S Emerson Ave
#310
Indianapolis, IN 46237
8051 S Emerson Ave
Ste 460
Indianapolis, IN 46237
Phone (317) 528-8306
8051 S Emerson Ave
Ste 100
Indianapolis, IN 46237
Phone (317) 528-8111
1515 W Dragoon Trl
Mishawaka, IN 46544
Phone (574) 254-6253
1215 Hadley Rd
Ste 200A
Mooresville, IN 46158
Phone (317) 528-8829
1199 Hadley Rd
Fl 2
Mooresville, IN 46158
Phone (317) 831-2273
1215 Hadley Rd
Ste 200B
Mooresville, IN 46158
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Mailing address
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (317) 528-6700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201334280 | Medicaid | IN |
Other names
- Franciscan Outpatient Pharmacy Indianapolis
Other providers in Indianapolis, IN
- Franciscan Health Indianapolis
- Franciscan Health Indianapolis & Mooresville
- Franciscan Health Indianapolis & Mooresville
- Franciscan Health Indianapolis & Mooresville
- Franciscan Health Indianapolis & Mooresville
- Franciscan Health Indianapolis & Mooresville
- Franciscan Health Indianapolis & Mooresville
- Franciscan Physician Network
- Franciscan Physician Network
- Franciscan Physician Network
All providers in Indianapolis, IN · Community/Retail Pharmacy in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.