NPIMap

Aspire Indiana Health Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Lebanon, IN

NPI 1851890107 · NPPES record last updated Aug 5, 2026

Key facts

NPI
1851890107
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
ASPIRE INDIANA HEALTH INC.
Practice address
1600 W Main St
Lebanon, IN 46052-2388
Phone
(317) 574-1254
Fax
(317) 674-0060
NPI assigned
Feb 1, 2018
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 11

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

Owned or controlled facilities with NPI records 8

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

Other NPIs on the same Medicare enrollment 10

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

Other NPIs with the same Medicare PAC ID 10

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

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 7

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Rana Magill Stoops, PMHNP-BC Psychiatric/Mental Health Nurse Practitioner · Anderson, IN · NPI 1134775463
    NPD

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IN

Federally qualified health center certification: CCN 151014

Legal name
ASPIRE INDIANA HEALTH INC
Doing business as
ASPIRE INDIANA HEALTH - BOONE COUNTY
Organization structure
Corporation · Non-profit
Incorporated
Feb 25, 2015 in IN
Enrollment address
1600 W Main St
Lebanon, IN 46052-2388

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Carolyn Barr
Individual 		Corporate Officer
Board Member		 Aug 1, 2015
Corporate Director
Board Member		 Aug 1, 2015
Karl Stout
Individual 		Corporate Officer
Board Member		 Aug 12, 2019
Corporate Director
Board Member		 Aug 12, 2019
Michael Collette
Individual 		Corporate Officer
Board Member		 Aug 1, 2018
Corporate Director
Board Member		 Aug 1, 2018
Timothy Crockett
Individual 		Corporate Officer
Chief Financial Officer		 Aug 1, 2018
Corporate Director
Chief Financial Officer		 Aug 1, 2018
W-2 Managing Employee
Chief Financial Officer		 Aug 1, 2018
Trent Scott
Individual 		Corporate Officer
Board Member		 Aug 1, 2014
Corporate Director
Board Member		 Aug 1, 2014
Leroy Quashie
Individual 		Corporate Officer
Board Member		 Jul 1, 2010
Corporate Director
Board Member		 Jul 1, 2010
Ted Sherfick
Individual 		Corporate Officer
Board Member		 Aug 1, 2019
Corporate Director
Board Member		 Aug 1, 2019
Michael Hall
Individual 		Corporate Officer
Board Member		 Aug 12, 2019
Corporate Director
Board Member		 Aug 12, 2019
Jeffrey L Reed
Individual 		Corporate Officer
Board Member		 Aug 1, 2000
Corporate Director
Board Member		 Aug 1, 2000
Duane Hoak
Individual 		Corporate Officer
Board Member		 Jul 1, 2010
Corporate Director
Board Member		 Jul 1, 2010
Obadiah Smith
Individual 		Corporate Officer
Board Member		 Aug 1, 2015
Corporate Director
Board Member		 Aug 1, 2015
Eric a Marcotte
Individual 		Corporate Officer
Board Member		 Aug 1, 2019
Corporate Director
Board Member		 Aug 1, 2019
Rob Spaulding
Individual 		Corporate Officer
Board Member		 Aug 1, 2017
Corporate Director
Board Member		 Aug 1, 2017
Barbara Scott
Individual 		Corporate Officer
Chief Executive Officer		 May 18, 1987
W-2 Managing Employee
Chief Executive Officer		 May 18, 1987
Operational/Managerial Control
Chief Executive Officer		 May 18, 1987
Aspire Indiana Health Inc
Organization · Noblesville, IN
Corporation 		5% Or Greater Direct Ownership Interest Jan 31, 2018 100%

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 - Willowbrook
Indianapolis, IN · CCN 151004		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 25, 2015
Aspire Indiana Health Inc
Elwood, IN · CCN 151003		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 25, 2015
Aspire May House
Anderson, IN · CCN 151002		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 25, 2015
Aspire Indiana Health Inc
Anderson, IN · CCN 151001		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 25, 2015
Aspire Indiana Health - Carmel
Carmel, IN · CCN 151008		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 25, 2015
Aspire Indiana Health-Noblesville
Noblesville, IN · CCN 151017		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 25, 2015
Aspire Indiana Health - Progress House Main
Indianapolis, IN · CCN 151084		 Federally qualified health center 5% Or Greater Direct Ownership Interest Jun 25, 2015

Medicare enrollment records

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
This NPI is an additional NPI on the enrollment
Practice locations: Anderson, IN; Noblesville, IN; Lebanon, IN; Indianapolis, IN; Carmel, IN; Elwood, IN
O20180212000376 IN Part a Provider - Federally Qualified Health Center (FQHC) 8921314196 Practice locations: Lebanon, IN

National Provider Directory

Tax ID family
Aspire Indiana Health Inc (7 organizations share this tax ID)

Locations

1600 W Main St
Lebanon, IN 46052
Phone (765) 335-7702

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

1600 W Main St
Lebanon, IN 46052-2388

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
151014OtherINMEDICARE
300010986MedicaidIN

Other names

  • ASPIRE INDIANA HEALTH-BOONE COUNTY Doing business as

Other providers in Lebanon, IN

All providers in Lebanon, IN · Federally Qualified Health Center (FQHC) in Indiana

Sources for this page

Verify at the official NPI Registry.