Rachael Birge, APRN | NPI 1851960702

Key facts

NPI: 1851960702
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: 71011234A (IN)
Practice address: 2629 Waterfront Parkway East Dr Ste 375
Indianapolis, IN 46214-2026
Phone: (317) 978-0257
Fax: (317) 974-9077
NPI assigned: Jun 23, 2021
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Indy Behavioral Health LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Indianapolis, IN · NPI 1356959068

Medicare reassignment Care Compare group NPD IN · PSYCHIATRIC/MENTAL HEALTH

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Indiana Medical College, School of Medicine of Purdue University, 2021
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Indy Behavioral Health LLC (2 clinicians)

Practice addresses (Care Compare)

2611 Waterfront Pkwy E Dr
Suite 370
Indianapolis, IN 46214-2069

2629 Waterfront Pkwy E Dr
Indianapolis, IN 46214-2026
Phone (317) 978-0257

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IN
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20211207001806	IN	Practitioner - Nurse Practitioner	0345630273	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Indy Behavioral Health LLC	Psychiatric/Mental Health	Current since Sep 7, 2021	Accepting new patients

Locations

2629 Waterfront Parkway East Dr
Ste 375
Indianapolis, IN 46214
Phone (317) 885-4200

2611 Waterfront Parkway East Dr
Ste 370
Indianapolis, IN 46214
Phone (317) 978-0257

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	71011234A	IN	Yes

Addresses

Primary practice location

2629 Waterfront Parkway East Dr Ste 375
Indianapolis, IN 46214-2026

Mailing address

2629 Waterfront Parkway East Dr Ste 375
Indianapolis, IN 46214-2026
Phone (317) 978-0257

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Psychiatric/Mental Health Nurse Practitioner in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.