Individual provider Active NPI

Emily Hackett, FNP-C

  • Family Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1790440030
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012288A Issued in IN
Practice address
9879 E 116TH St
Fishers, IN 46037-9231
Phone
(317) 576-1114
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1217952 TX
Family Nurse Practitioner 363LF0000X 95040831 CA
Family Nurse Practitioner 363LF0000X 71012288A IN Primary
Family Nurse Practitioner 363LF0000X SP035795 PA
Family Nurse Practitioner 363LF0000X 209035567 IL
Family Nurse Practitioner 363LF0000X 11042954 FL
Family Nurse Practitioner 363LF0000X 17058 CT
Family Nurse Practitioner 363LF0000X 359397 NY

Addresses

Primary practice location

9879 E 116TH St
Fishers, IN 46037-9231

Mailing address

9879 E 116TH St
Fishers, IN 46037-9231
Phone (317) 576-1114

Other practice location 1

1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone (866) 389-2727

Other practice location 2

1501 Biscayne Blvd
Miami, FL 33132-1449
Phone (877) 870-0323

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cicero 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
I20220323000994 IN Practitioner - Nurse Practitioner 1456746700 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71012288AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kokomo Pain Management, LLC CurrentSince Jan 3, 2023 Accepting new patients
Ig Health and Wellness Past Accepting new patients

Locations

18077 River Rd
Ste 200
Noblesville, IN 46062
Phone (317) 770-2146

Organizations & group practices 2

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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1790440030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9879 E 116TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379231",
            "telephone_number": "317-576-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9879 E 116TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379231",
            "telephone_number": "317-576-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1218 E Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190102616",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "fax_number": "401-287-0316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331321449",
            "country_code": "US",
            "telephone_number": "877-870-0323",
            "fax_number": "866-427-3798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "EMILY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1217952",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95040831",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012288A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP035795",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209035567",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11042954",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "17058",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "359397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cicero",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CICERO",
            "address_1": "1050 W Morse Dr",
            "city": "Cicero",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460349238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.