Individual provider Active NPI

Debra Lynn Mathies, ANP-BC

  • Nurse Practitioner
  • Shelbyville, IN
National Provider Identifier
1861628299
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71002935A Issued in IN
Practice address
2451 Intelliplex Dr Ste 215
Shelbyville, IN 46176-8580
Phone
(317) 421-1917
Fax
(317) 825-5303
NPI assigned
May 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71002935A IN Primary

Addresses

Primary practice location

2451 Intelliplex Dr Ste 215
Shelbyville, IN 46176-8580

Mailing address

30 W Rampart St
Suite 200
Shelbyville, IN 46176-8846
Phone (317) 421-2012

Other names 1

  • Mrs. Debra Lynn Letzler Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address majorhospital@direct.majorhospital.org

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
I20090909000761 IN Practitioner - Nurse Practitioner 4284789520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Major Multispecialty AssociatesGroup PAC ID 6305997842, 39 clinicians

Practice addresses (Care Compare)

2451 Intelliplex Dr
Suite 205
Shelbyville, IN 46176-8580
Phone (317) 421-1914

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71002935AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Major Multispecialty Associates CurrentSince Jul 1, 2015 Accepting new patients
X-Ray Physicians of Shelbyville PC Current Accepting new patients
Major Hospital CurrentSince Oct 1, 2009 Accepting new patients
Major Hospital CurrentSince Oct 1, 2009 Accepting new patients
Major Multispecialty Associates Nurse Practitioner CurrentSince Jul 1, 2015 Accepting new patients

Locations

2451 Intelliplex Dr
Ste 215
Shelbyville, IN 46176
Phone (317) 421-1900

2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914

2451 Intelliplex Dr
Ste 240
Shelbyville, IN 46176
Phone (317) 398-7337

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

2451 Intelliplex Dr
Ste 205
Shelbyville, IN 46176
Phone (317) 421-1914

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1861628299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W RAMPART ST",
            "address_2": "SUITE 200",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768846",
            "telephone_number": "317-421-2012",
            "fax_number": "317-398-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 INTELLIPLEX DR STE 215",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768580",
            "telephone_number": "317-421-1917",
            "fax_number": "317-825-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIES",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002935A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "majorhospital@direct.majorhospital.org",
            "affiliation": "N",
            "address_1": "2451 Intelliplex Dr Ste 215",
            "city": "Shelbyville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461768580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "LETZLER",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.