Individual provider Active NPI

Mary Applegate Nuckols I, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1740876887
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015228A Issued in IN
Practice address
8130 E Southport Rd
Indianapolis, IN 46259-6806
Phone
(317) 245-4453
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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 71015228A IN Primary

Addresses

Primary practice location

8130 E Southport Rd
Indianapolis, IN 46259-6806

Mailing address

8130 E Southport Rd
Indianapolis, IN 46259-6806
Phone (317) 245-4453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210428001066 VA Practitioner - Nurse Practitioner 9537577796 Reassigns benefits to 1 organization
I20250425001258 IN Practitioner - Nurse Practitioner 9537577796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consonant Healing Associates of de LLCGroup PAC ID 2466871694, 81 clinicians
Little Clinic of in LLCGroup PAC ID 7719118447, 66 clinicians

Practice addresses (Care Compare)

101 Potters LN
Clarksville, IN 47129-1017
Phone (812) 948-0808

1330 W Southport Rd
Indianapolis, IN 46217-5301
Phone (317) 884-4256

9875 Cherryleaf Dr
Indianapolis, IN 46268-3940
Phone (317) 873-3349

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Medical Associates CurrentSince Apr 22, 2021 Accepting new patients
Healing Partners Plus PLLC CurrentSince Oct 1, 2025 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince May 2, 2025 Accepting new patients

Locations

101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808

105 Water St
Plymouth, IN 46563
Phone (574) 540-2052

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1740876887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 E SOUTHPORT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462596806",
            "telephone_number": "317-245-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 E SOUTHPORT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462596806",
            "telephone_number": "317-245-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCKOLS",
        "first_name": "MARY",
        "middle_name": "APPLEGATE",
        "name_suffix": "I",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015228A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.