Individual provider Active NPI

Rachael Birge, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1851960702
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71011234A Issued in 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
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71011234A IN Primary

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

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
I20211207001806 IN Practitioner - Nurse Practitioner 0345630273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 8325450372, 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71011234AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indy Behavioral Health LLC Psychiatric/Mental Health CurrentSince Sep 7, 2021 Accepting new patients

Locations

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

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

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, 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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1851960702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 WATERFRONT PARKWAY EAST DR STE 375",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142026",
            "telephone_number": "317-978-0257",
            "fax_number": "317-974-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 WATERFRONT PARKWAY EAST DR STE 375",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142026",
            "telephone_number": "317-978-0257",
            "fax_number": "317-974-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRGE",
        "first_name": "RACHAEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71011234A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.