Individual provider Active NPI

Tricia Lynn Wright, MD

  • Family Medicine Physician
  • Lebanon, IN
National Provider Identifier
1851388540
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01058227A Issued in IN
Practice address
2705 N Lebanon St Ste 300
Lebanon, IN 46052-8622
Phone
(765) 485-8649
Fax
(765) 485-8650
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01058227A IN Primary

Addresses

Primary practice location

2705 N Lebanon St Ste 300
Lebanon, IN 46052-8622

Mailing address

2605 N Lebanon St
Lebanon, IN 46052-1476

Other identifiers 1

IdentifierTypeStateIssuer
200526950MedicaidIN

Other names 1

  • Tricia Lynn Hettmansberger Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address twright@withamdirect.org Health Information Exchange (HIE) Witham Memorial Hospital

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912000567 IN Practitioner - Family Practice 1355374307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Witham Memorial HospitalGroup PAC ID 4082523170, 107 clinicians

Practice addresses (Care Compare)

2705 N Lebanon St
Lebanon, IN 46052-8622
Phone (765) 485-8649

Hospital & facility affiliations

  • Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
  • Witham Health Services Hospital, Lebanon, IN, CCN 150104
  • Indiana University Health Frankfort Inc Hospital, Frankfort, IN, CCN 151316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01058227AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Witham Memorial Hospital CurrentSince Aug 1, 2005 Accepting new patients
Witham Memorial Hospital Family Medicine CurrentSince Aug 1, 2005 Accepting new patients

Locations

2705 N Lebanon St
Ste 300
Lebanon, IN 46052
Phone (765) 482-8649

400 N Mount Zion Rd
Lebanon, IN 46052
Phone (765) 335-0123

2705 N Lebanon St
Ste 305
Lebanon, IN 46052
Phone (765) 485-8677

2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000

2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649

1650 W Oak St
Ste 100
Zionsville, IN 46077
Phone (317) 873-8800

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.

Hospital & facility affiliations 3

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1851388540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 N LEBANON ST STE 300",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460528622",
            "telephone_number": "765-485-8649",
            "fax_number": "765-485-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TRICIA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01058227A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200526950",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twright@withamdirect.org",
            "affiliation": "Y",
            "affiliationName": "Witham Memorial Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2705 N Lebanon St Ste 300",
            "city": "Lebanon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460528622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "HETTMANSBERGER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, IN

Sources for this page

Verify at the official NPI Registry.