NPIMap

Individual provider Active NPI

Lacy Lynn Crafton, PA

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1922058841
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000502A Issued in IN
Practice address
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone
(317) 802-2000
Fax
(317) 802-2170
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000502A IN Primary

Addresses

Primary practice location

8450 Northwest Blvd
Indianapolis, IN 46278-1381

Mailing address

8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000

Other practice location 1

10995 Allisonville Rd
Fishers, IN 46038-2616
Phone (317) 915-8110

Other names 1

  • Lacy Lynn Holloway Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lacy.crafton.1@29985.direct.athenahealth.com Orthopaedics-Indianapolis, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207000807 IN Practitioner - Physician Assistant 9436115888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians

Practice addresses (Care Compare)

8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000

Hospital & facility affiliations

  • Orthoindy Hospital Hospital, Indianapolis, IN, CCN 150160
  • Community Hospital North Hospital, Indianapolis, IN, CCN 150169
  • Ascension St Vincent Fishers Hospital, Fishers, IN, CCN 150181

Merit-based Incentive Payment System (MIPS)

Final score
74.84 of 100Reported as group
Quality
52.64
Promoting interoperability
88
Improvement activities
40
Cost
73.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics-Indianapolis, Inc CurrentSince Apr 15, 2002 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Apr 15, 2002 Accepting new patients
Orthopaedics-Indianapolis, Inc Physician Assistant Past Accepting new patients
St Vincent Pediatric Subspecialties Past Accepting new patients

Locations

7950 Ortho Ln
Brownsburg, IN 46112
Phone (317) 268-3600

9070 E 56th St
Ste 400
Brownsburg, IN 46112
Phone (317) 268-3600

1260 Innovation Pkwy
Ste 100
Greenwood, IN 46143
Phone (317) 884-5200

8450 Northwest Blvd
Indianapolis, IN 46278

288 E 175th St
Ste 100
Westfield, IN 46074
Phone (317) 275-6140

Interoperability endpoints

  • Direct secure messaging: lacycrafton@oi.allscriptsdirect.net
  • Direct secure messaging: lacy.crafton.1@29985.direct.athenahealth.com

Organizations & group practices 21

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.

View all 21

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1922058841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 NORTHWEST BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781381",
            "telephone_number": "317-802-2000",
            "fax_number": "317-802-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 NORTHWEST BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781381",
            "telephone_number": "317-802-2000",
            "fax_number": "317-802-2170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10995 Allisonville Rd",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460382616",
            "country_code": "US",
            "telephone_number": "317-915-8110",
            "fax_number": "317-915-8120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAFTON",
        "first_name": "LACY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000502A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lacy.crafton.1@29985.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Athena address",
            "affiliationName": "Orthopaedics-Indianapolis, Inc",
            "address_1": "8450 Northwest Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462781381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LACY",
            "last_name": "HOLLOWAY",
            "middle_name": "LYNN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.