Individual provider Active NPI

Taylor Anne Vandervort, RN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Brownsburg, IN
National Provider Identifier
1851904973
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71011863A Issued in IN
Practice address
1080 N Green St Ste 200
Brownsburg, IN 46112-2417
Phone
(317) 799-0178
Fax
(317) 799-0180
NPI assigned
Aug 28, 2020
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 71011863A IN Primary

Addresses

Primary practice location

1080 N Green St Ste 200
Brownsburg, IN 46112-2417

Mailing address

1100 Southfield Dr Ste 1370
Plainfield, IN 46168-4300
Phone (317) 837-5566

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tvandervort439680@direct-PRD.stelizabeth.com

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
I20211223001034 IN Practitioner - Nurse Practitioner 5991196107 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011863AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Jan 24, 2025 Accepting new patients
Hendricks County Hospital CurrentSince Jan 24, 2025 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

1080 N Green St
Ste 200
Brownsburg, IN 46112
Phone (317) 852-3851

100 Hospital Ln
Ste 200
Danville, IN 46122
Phone (317) 745-7337

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
  • Direct secure messaging: taylor.vandervort.1@7598.direct.athenahealth.com
  • Direct secure messaging: tvandervort439680@direct-prd.stelizabeth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1851904973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR STE 1370",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684300",
            "telephone_number": "317-837-5566",
            "fax_number": "317-837-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N GREEN ST STE 200",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122417",
            "telephone_number": "317-799-0178",
            "fax_number": "317-799-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERVORT",
        "first_name": "TAYLOR",
        "middle_name": "ANNE",
        "credential": "RN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71011863A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tvandervort439680@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "100 Hospital Ln Ste 200",
            "city": "Danville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461221993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

Verify at the official NPI Registry.