Individual provider Active NPI

Alicia Ray-Wolfe

  • Family Nurse Practitioner
  • Shelbyville, IN
National Provider Identifier
1740660547
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005505A Issued in IN
Practice address
1818 E State Road 44 Ste B
Shelbyville, IN 46176-1814
Phone
(317) 421-6060
Fax
(317) 398-0662
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 71005505A IN Primary

Addresses

Primary practice location

1818 E State Road 44 Ste B
Shelbyville, IN 46176-1814

Mailing address

1503 N Mitthoefer Rd
Indianapolis, IN 46229-2425
Phone (317) 934-0755

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address araywolfe1740660547@direct.d4d.ihie.us Health Information Exchange (HIE)

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
I20150721000643 IN Practitioner - Nurse Practitioner 6305159336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jane Pauley Community Health Center IncGroup PAC ID 7618152729, 77 clinicians

Practice addresses (Care Compare)

1818 E State Rd
44 Suite B
Shelbyville, IN 46176-1814
Phone (463) 232-3088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71005505AINMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: araywolfe318546@direct.ochin.org
  • Direct secure messaging: araywolfe1740660547@direct.d4d.ihie.us

Organizations & group practices 1

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1740660547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 N MITTHOEFER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292425",
            "telephone_number": "317-934-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E STATE ROAD 44 STE B",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761814",
            "telephone_number": "317-421-6060",
            "fax_number": "317-398-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY-WOLFE",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005505A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "araywolfe1740660547@direct.d4d.ihie.us",
            "affiliation": "N",
            "endpointDescription": "IHIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1818 E State Road 44 Ste B",
            "city": "Shelbyville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461761814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.