Active NPI
Brianne Elizabeth Ancich, PA
- Physician Assistant
- Greenwood, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10000819A
- Practice address
- 1260 Innovation Pkwy
#100
Greenwood, IN 46143-3602 - Phone
- (317) 884-5200
- Fax
- (317) 884-5360
- NPI assigned
- May 10, 2006
- Last updated
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10000819A | IN | Primary |
Addresses
Primary practice location
1260 Innovation Pkwy
#100
Greenwood, IN 46143-3602
Mailing address
1260 Innovation Pkwy
#100
Greenwood, IN 46143-3602
Phone (317) 884-5200
Other practice location 1
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brianneancich@oi.allscriptsdirect.net | Orthopaedics-Indianapolis, Inc. |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10767 Illinois St
Carmel, IN 46032-8972
Phone (317) 817-1200
1401 W County Line Rd
Methodist Sports Medicine
Greenwood, IN 46142-5195
Phone (317) 817-1200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.84 of 100
- Quality
- 52.64
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 73.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000819A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas a Brady Sports Medicine Center, PC | Current | Accepting new patients | |
| Thomas a Brady Sports Medicine Center, PC | Physician Assistant | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
10767 Illinois St
Ste 3000
Carmel, IN 46032
Phone (317) 708-6858
1401 W County Line Rd
Greenwood, IN 46142
Phone (317) 217-1200
Interoperability endpoints
- brianneancich@oi.allscriptsdirect.net
Organizations & group practices 3
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.
-
dba Forte Sports Medicine and Orthopedics
- Orthopaedic Surgery Physician
- Carmel, IN
- NPI 1467484212
Physician Assistant
-
dba Forte Sports Medicine and Orthopedics
- Orthopaedic Surgery Physician
- Noblesville, IN
- NPI 1407480239
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Health Indianapolis Orthopedic Hospital
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
dba Franciscan Health - Indianapolis
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1801846175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 INNOVATION PKWY",
"address_2": "#100",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461433602",
"telephone_number": "317-884-5200",
"fax_number": "317-884-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 INNOVATION PKWY",
"address_2": "#100",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461433602",
"telephone_number": "317-884-5200",
"fax_number": "317-884-5360"
}
],
"practiceLocations": [
{
"address_1": "8450 Northwest Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462781381",
"country_code": "US",
"telephone_number": "317-802-2000",
"fax_number": "317-802-2868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANCICH",
"first_name": "BRIANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10000819A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brianneancich@oi.allscriptsdirect.net",
"affiliation": "Y",
"endpointDescription": "Allscripts e-mail",
"affiliationName": "Orthopaedics-Indianapolis, Inc.",
"address_1": "1260 Innovation Pkwy",
"address_2": "#100",
"city": "Greenwood",
"state": "IN",
"country_code": "US",
"postal_code": "461433602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.