Individual provider Active NPI

Carolyn M Harris, NP

  • Acute Care Nurse Practitioner
  • Avon, IN
National Provider Identifier
1871644278
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71002313A Issued in IN
Practice address
6845 E US Highway 36
Avon, IN 46123-9779
Phone
(317) 272-4920
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 28144501A IN
Family Nurse Practitioner 363LF0000X 71002313A IN
Acute Care Nurse Practitioner 363LA2100X 71002313A IN Primary

Addresses

Primary practice location

6845 E US Highway 36
Avon, IN 46123-9779

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1045 Wyatt Way
Lizton, IN 46149-9583
Phone (317) 994-6600

Other practice location 2

1000 E Main St
Partners In Care
Danville, IN 46122-1948
Phone (317) 745-9531

Other practice location 3

6845 E US Highway 36 Ste 600
Avon, IN 46123-8132
Phone (317) 272-4920

Other identifiers 1

IdentifierTypeStateIssuer
100419730MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address charris228870@direct-PRD.stelizabeth.com
Direct Messaging Address charris@direct.iuhealth.org Direct
Direct Messaging Address charris@direct.iuhealth.org Direct

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
I20180202001003 IN Practitioner - Nurse Practitioner 1850651233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

6845 E US Hwy 36
Avon, IN 46123-8132
Phone (888) 484-3258

6845 E US Hwy 36 600
Avon, IN 46123-8132
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28144501AINMDCommunity Health Nurse Practitioner
71002313AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc Family CurrentSince Mar 1, 2025 Accepting new patients
Iu Health Medical Group, LLC Family CurrentSince Jul 1, 2025 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

6845 E US Highway 36
Ste 600
Avon, IN 46123
Phone (317) 272-4920

6845 E US Highway 36
Avon, IN 46123
Phone (317) 272-4920

1000 E Main St
Danville, IN 46122
Phone (317) 745-3420

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

Interoperability endpoints

  • Direct secure messaging: charris228870@direct-prd.stelizabeth.com
  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

Organizations & group practices 4

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 3

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1871644278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239779",
            "telephone_number": "317-272-4920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Wyatt Way",
            "address_purpose": "LOCATION",
            "city": "Lizton",
            "state": "IN",
            "postal_code": "461499583",
            "country_code": "US",
            "telephone_number": "317-994-6600",
            "fax_number": "317-994-6605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Main St",
            "address_2": "Partners In Care",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IN",
            "postal_code": "461221948",
            "country_code": "US",
            "telephone_number": "317-745-9531",
            "fax_number": "317-745-9534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6845 E US Highway 36 Ste 600",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461238132",
            "country_code": "US",
            "telephone_number": "317-272-4920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CAROLYN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "IN",
            "license": "28144501A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002313A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71002313A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100419730",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charris228870@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "1045 Wyatt Way",
            "city": "Lizton",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461499583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charris@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6845 E US Highway 36",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461239779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charris@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6845 E US Highway 36 Ste 600",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461238132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.