Individual provider Active NPI

Christina Lynn Fleck, FNP-BC

  • Family Nurse Practitioner
  • Lebanon, IN
National Provider Identifier
1720719990
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012865A Issued in IN
Practice address
416 W Camp St
Lebanon, IN 46052-1799
Phone
(765) 483-4469
Fax
(765) 483-4495
NPI assigned
Jun 20, 2022
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 71012865A IN Primary

Addresses

Primary practice location

416 W Camp St
Lebanon, IN 46052-1799

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1716 Hartford St
Lafayette, IN 47904-2173
Phone (765) 742-1567

Other practice location 2

2121 S Gopher Dr BLDG
Frankfort, IN 46041-6800
Phone (765) 650-7875

Other practice location 3

253 Sagamore Pkwy W
Lafayette, IN 47906-1501
Phone (765) 448-8000

Other identifiers 1

IdentifierTypeStateIssuer
300066195MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cfleck@direct.iuhealth.org 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
I20220817003353 IN Practitioner - Nurse Practitioner 2365825759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Witham Memorial HospitalGroup PAC ID 4082523170, 107 clinicians

Practice addresses (Care Compare)

151 E Bow St
Thorntown, IN 46071-1164
Phone (765) 436-2400

2505 N Lebanon St
Lebanon, IN 46052-8613
Phone (765) 485-8830

400 N Mount Zion Rd
Lebanon, IN 46052-9497
Phone (765) 335-0123

6085 Heartland Dr
Zionsville, IN 46077-4433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71012865AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Witham Memorial Hospital CurrentSince Jul 14, 2025 Accepting new patients
Arnett Clinic, LLC CurrentSince Nov 6, 2023 Accepting new patients
Arnett Clinic, LLC CurrentSince Nov 6, 2023 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
Witham Memorial Hospital CurrentSince Jul 14, 2025 Accepting new patients
Boone County Community Health Clinic, Inc CurrentSince Aug 1, 2022 Accepting new patients
Riggs Community Health Center Inc Past Accepting new patients
Witham Memorial Hospital Past Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

2600 Greenbush St
Lafayette, IN 47904

2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649

400 N Mount Zion Rd
Lebanon, IN 46052
Phone (765) 335-0123

416 W Camp St
Lebanon, IN 46052
Phone (765) 483-4469

151 E Bow St
Thorntown, IN 46071
Phone (765) 436-2400

253 Sagamore Pkwy W
West Lafayette, IN 47906

6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134

Interoperability endpoints

  • Direct secure messaging: cfleck@direct.iuhealth.org

Organizations & group practices 8

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1720719990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W CAMP ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521799",
            "telephone_number": "765-483-4469",
            "fax_number": "765-483-4495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1716 Hartford St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479042173",
            "country_code": "US",
            "telephone_number": "765-742-1567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 S Gopher Dr BLDG",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IN",
            "postal_code": "460416800",
            "country_code": "US",
            "telephone_number": "765-650-7875",
            "fax_number": "765-650-7803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "253 Sagamore Pkwy W",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479061501",
            "country_code": "US",
            "telephone_number": "765-448-8000",
            "fax_number": "765-448-8257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLECK",
        "first_name": "CHRISTINA",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012865A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300066195",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cfleck@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "253 Sagamore Pkwy W",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479061501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

Verify at the official NPI Registry.