Individual provider Active NPI

Luke Wren

  • Family Medicine Physician
  • Avon, IN
National Provider Identifier
1922637537
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02007139A Issued in IN
Practice address
301 Satori Pkwy Ste 200
Avon, IN 46123-6407
Phone
(317) 271-6363
NPI assigned
Apr 6, 2020
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS18122 FL
Family Medicine Physician 207Q00000X 02007139A IN Primary

Addresses

Primary practice location

301 Satori Pkwy Ste 200
Avon, IN 46123-6407

Mailing address

301 Satori Pkwy Ste 200
Avon, IN 46123-6407
Phone (317) 271-6363

Other practice location 1

13880 Shell Point Plz Ste 200
Fort Myers, FL 33908-3504
Phone (239) 466-1111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lwren403334@direct-PRD.stelizabeth.com 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230804003588 IN Practitioner - Family Practice 3779971643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Marian University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

301 Satori Pkwy
200 Avon Family Health
Avon, IN 46123-6407
Phone (317) 271-6363

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS18122FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Aug 7, 2023 Accepting new patients
Hendricks County Hospital Family Medicine CurrentSince Aug 7, 2023 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Family Medicine Past Accepting new patients

Locations

301 Satori Pkwy
Ste 200
Avon, IN 46123
Phone (317) 271-6363

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
  • Direct secure messaging: lwren403334@direct-prd.stelizabeth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1922637537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SATORI PKWY STE 200",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236407",
            "telephone_number": "317-271-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SATORI PKWY STE 200",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236407",
            "telephone_number": "317-271-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13880 Shell Point Plz Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083504",
            "country_code": "US",
            "telephone_number": "239-466-1111",
            "fax_number": "239-454-2279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WREN",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS18122",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02007139A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwren403334@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "301 Satori Pkwy Ste 200",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461236407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.