Ashlee Mack, AGACNP, PMHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71011610A Issued in IN

Practice address

4333 Village Trace CT
Indianapolis, IN 46254-6232

Phone

(463) 222-9605

Fax

(317) 342-8372

NPI assigned

Aug 16, 2020

Last updated

Oct 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations (25 of 28)

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.

• BCS of Indiana, LLC

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1841945755
  Medicare reassignment NPD
• Careline Pin100 LLC

  dba Careline Physician Services

  • Geriatric Medicine (Internal Medicine) Physician
  • Carmel, IN
  • NPI 1205506862
  Medicare reassignment NPD
• My Mobile MD LLC

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1225495716
  Medicare reassignment NPD
• Recover Together, LLC

  dba Groups Recover Together

  • Adult Mental Health Clinic/Center
  • Lawrenceburg, IN
  • NPI 1891102497

  Nurse Practitioner

  Medicare reassignment NPD
• St Vincent Physician Services Hospital and Health Care Center

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1669422234

  Nurse Practitioner

  Medicare reassignment NPD
• Sycamore Springs Physician Group LLC

  • Psychiatry Physician
  • Lafayette, IN
  • NPI 1972914539
  Medicare reassignment NPD
• Hamilton Medical Consultants LLC

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1265851935

  IN

  Medicare reassignment NPD
• Midwest Post Acute Care PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1083012074

  IN

  Medicare reassignment NPD
• Macnificent Minds

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
  • NPI 1073497574
  NPD Authorized official
• Grace Divine, LLC

  dba Grace At Home, Primary Care House Calls

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1548596372
  Medicare reassignment
• Aims-Med, LLC

  • Internal Medicine Physician
  • Bremen, IN
  • NPI 1881211878
  NPD
• Careline Hin100 LLC

  dba Optimal Care Hospice

  • Community Based Hospice Care Agency
  • Carmel, IN
  • NPI 1124780465
  NPD

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1942811682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 VILLAGE TRACE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462546232",
            "telephone_number": "317-652-9627",
            "fax_number": "317-342-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 VILLAGE TRACE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462546232",
            "telephone_number": "463-222-9605",
            "fax_number": "317-342-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "ASHLEE",
        "name_prefix": "Mrs.",
        "credential": "AGACNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71011610A",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71011610A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71011610A",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71011610A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacee May Alger Macinnis, ATC
• Erica Mack-Jackson
• Beverly Mack-Martin, CADAC IV, LCAC
• Allison Mack
• Anita Jean Mack
• Deborah Lynn Mack, M.D.
• Lindsay Mack, LCSW
• Raven Mack
• Rita Mack
• Stephanie Mack

• Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.