NPIMap

Organization Active NPI

Aspire Indiana Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Anderson, IN
National Provider Identifier
1780068288
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ASPIRE INDIANA HEALTH INC.
Practice address
2009 Brown St
Anderson, IN 46016-4216
Phone
(317) 574-1254
Fax
(317) 674-0060
NPI assigned
Jul 14, 2015
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Timothy D Crockett
Title
Financial Officer
Phone
(317) 587-0505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

2009 Brown St
Anderson, IN 46016-4216

Mailing address

697 Pro Med LN
Carmel, IN 46032-5323
Phone (317) 574-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150902001749 IN Part B Supplier - Clinic/Group Practice 8921314196 Receives reassigned benefits from 203 practitioners
10 other NPIs on this enrollment
Practice locations: Anderson, IN; Noblesville, IN; Lebanon, IN; Indianapolis, IN; Carmel, IN; Elwood, IN
O20171016001555 IN Part A Provider - Federally Qualified Health Center (FQHC) 8921314196 Practice locations: Anderson, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780068288. Details of each certification follow.

Federally qualified health center certification: CCN 151001

Legal name
ASPIRE INDIANA HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 27, 2017
Last certification
Sep 27, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 25, 2015 in IN
Enrollment address
2009 Brown St
Anderson, IN 46016-4216

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2103980Aspire Indiana Health2009 Brown Street, Anderson, IN 46016Certificate of waiverOct 25, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10731 N State Road 13
Elwood, IN 46036
Phone (765) 552-5009

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amy Matthews Individual Corporate OfficerBoard Member Aug 1, 2012
Corporate DirectorBoard Member Aug 1, 2012
Carolyn Barr Individual Corporate OfficerBoard Member Aug 1, 2015
Corporate DirectorBoard Member Aug 1, 2015
Karl Stout Individual Corporate OfficerBoard Member Aug 12, 2019
Corporate DirectorBoard Member Aug 12, 2019
Michael Collette Individual Corporate OfficerBoard Member Aug 1, 2018
Corporate DirectorBoard Member Aug 1, 2018
Shelagh Anne Fraser Individual Corporate OfficerBoard Member Aug 1, 2015
Corporate DirectorBoard Member Aug 1, 2015
Timothy Crockett Individual Corporate OfficerChief Financial Officer Aug 1, 2018
W-2 Managing EmployeeChief Financial Officer Aug 1, 2018
Operational/Managerial ControlChief Financial Officer Aug 1, 2018
Joseph E Vosburgh Individual Corporate OfficerBoard Member Jul 1, 2015
Corporate DirectorBoard Member Jul 1, 2015
John Demaree Individual Corporate OfficerBoard Member Aug 1, 2010
Corporate DirectorBoard Member Aug 1, 2010
Trent Scott Individual Corporate OfficerBoard Member Aug 1, 2014
Corporate DirectorBoard Member Aug 1, 2014
Jody Horstman Individual Corporate OfficerChief Integration Officer Dec 13, 2018
Corporate DirectorChief Integration Officer Dec 13, 2018
Majorie Shell Individual Corporate OfficerBoard Member Jul 1, 2015
Corporate DirectorBoard Member Jul 1, 2015
Leroy Quashie Individual Corporate OfficerBoard Member Jul 1, 2010
Corporate DirectorBoard Member Jul 1, 2010
Ted Sherfick Individual Corporate OfficerBoard Member Aug 1, 2019
Corporate DirectorBoard Member Aug 1, 2019
Michael Hall Individual Corporate OfficerBoard Member Aug 12, 2019
Corporate DirectorBoard Member Aug 12, 2019
James Skeel Individual Corporate OfficerChief Quality Officer Aug 12, 2019
Corporate DirectorChief Quality Officer Aug 12, 2019
Jeffrey L Reed Individual Corporate OfficerBoard Member Aug 1, 2000
Corporate DirectorBoard Member Aug 1, 2000
Duane Hoak Individual Corporate OfficerBoard Member Jul 1, 2010
Corporate DirectorBoard Member Jul 1, 2010
Obadiah Smith Individual Corporate OfficerBoard Member Aug 1, 2015
Corporate DirectorBoard Member Aug 1, 2015
Eric a Marcotte Individual Corporate OfficerBoard Member Aug 1, 2019
Corporate DirectorBoard Member Aug 1, 2019
Rob Spaulding Individual Corporate OfficerBoard Member Aug 1, 2017
Corporate DirectorBoard Member Aug 1, 2017
David Speicher Individual Corporate OfficerChief Technology Officer Dec 13, 2018
Corporate DirectorChief Technology Officer Dec 13, 2018
Barbara Scott Individual Corporate OfficerPresident/Ceo Jul 1, 2015
Corporate DirectorPresident/Ceo Jul 1, 2015
W-2 Managing EmployeePresident/Ceo Jul 1, 2015
Operational/Managerial ControlPresident/Ceo Jul 1, 2015
John H Plumb Individual Corporate OfficerBoard Member Aug 12, 2019
Corporate DirectorBoard Member Aug 12, 2019
Aspire Indiana Health Inc Organization, Noblesville, IN Corporation 5% Or Greater Direct Ownership Interest Jun 25, 2015 100%
Daniel Stevens Individual Corporate OfficerBoard Member Aug 1, 2017
Corporate DirectorBoard Member Aug 1, 2017

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Anderson Indiana Health - WillowbrookIndianapolis, IN, CCN 151004 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 25, 2015
Aspire Indiana Health IncElwood, IN, CCN 151003 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 25, 2015
Aspire May HouseAnderson, IN, CCN 151002 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 25, 2015
Aspire Indiana Health - CarmelCarmel, IN, CCN 151008 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 25, 2015
Aspire Indiana Health - Boone CountyLebanon, IN, CCN 151014 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 31, 2018
Aspire Indiana Health-NoblesvilleNoblesville, IN, CCN 151017 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 25, 2015
Aspire Indiana Health - Progress House MainIndianapolis, IN, CCN 151084 Federally qualified health center 5% Or Greater Direct Ownership Interest Jun 25, 2015

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 206

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 206

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1780068288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 PRO MED LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325323",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 BROWN ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164216",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE INDIANA HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "317-587-0505"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.