Individual provider Active NPI

Elizabeth Pich, PA

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1902648249
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2640 E 10TH St
Indianapolis, IN 46201-2100
Phone
(317) 957-2200
NPI assigned
Jun 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

2640 E 10TH St
Indianapolis, IN 46201-2100

Mailing address

3908 Meadows Dr Ste C
Indianapolis, IN 46205-3114
Phone (317) 957-2000

Other identifiers 1

IdentifierTypeStateIssuer
300098235MedicaidIN

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
I20241009003969 IN Practitioner - Physician Assistant 8729519111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Access Medical Clinic LLCGroup PAC ID 1951721802, 30 clinicians
Healthnet IncGroup PAC ID 7214840933, 77 clinicians

Practice addresses (Care Compare)

1641 S US Hwy 231
Crawfordsville, IN 47933-9421
Phone (865) 436-2811

2855 N Keystone Ave
Suite 120
Indianapolis, IN 46218-2790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic LLC Multi-Specialty CurrentSince Aug 3, 2024 Accepting new patients
Access Medical Clinic LLC Multi-Specialty CurrentSince Aug 3, 2024 Accepting new patients
Well Care Community Health, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Well Care Community Health, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Access Medical Clinic LLC Multi-Specialty Past Accepting new patients

Locations

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

1641 S US Highway 231
Crawfordsvlle, IN 47933
Phone (765) 307-7146

203 E Main St
Richmond, IN 47374
Phone (765) 973-9294

Interoperability endpoints

  • Direct secure messaging: elizabeth.pich.1@22155.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1902648249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 MEADOWS DR STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053114",
            "telephone_number": "317-957-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 E 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462012100",
            "telephone_number": "317-957-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICH",
        "first_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-08",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300098235",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.