Individual provider Active NPI

Cara Marie Plake

  • Adult Health Nurse Practitioner
  • Lafayette, IN
National Provider Identifier
1720707375
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
28229309A Issued in IN
Practice address
427 Main St.
Lafayette, IN 47901-1369
Phone
(765) 413-2831
Fax
(833) 913-2401
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 28229309A IN Primary

Addresses

Primary practice location

427 Main St.
Lafayette, IN 47901-1369

Mailing address

427 Main St Ste 210
Lafayette, IN 47901-1941
Phone (765) 404-8099

Other identifiers 1

IdentifierTypeStateIssuer
28229309AOtherINNURSING BOARD

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
I20230918003813 IN Practitioner - Nurse Practitioner 9133583578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Li Consulting LLCGroup PAC ID 0143619908, 7 clinicians

Practice addresses (Care Compare)

427 Main St
Suite 210
Lafayette, IN 47901-1369
Phone (765) 413-2831

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.43 of 100Reported as group
Quality
50.86
Improvement activities
0
Cost
80.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
28229309AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Li Consulting LLC CurrentSince Oct 16, 2023 Accepting new patients
Provider Partners Care Management LP CurrentSince Oct 1, 2024 Accepting new patients
Riggs Community Health Center Inc Past Accepting new patients

Locations

950 N Lakeview Dr
Greensburg, IN 47240
Phone (812) 662-7778

427 Main St
Ste 210
Lafayette, IN 47901
Phone (765) 404-8099

427 Main St
Lafayette, IN 47901
Phone (765) 413-2831

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25124/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cara.wilson.1@25124.direct.athenahealth.com

Organizations & group practices 4

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1720707375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 MAIN ST STE 210",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479011941",
            "telephone_number": "765-404-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 MAIN ST.",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479011369",
            "telephone_number": "765-413-2831",
            "fax_number": "833-913-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAKE",
        "first_name": "CARA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28229309A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING BOARD",
            "identifier": "28229309A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.