Individual provider Active NPI

Mary Kaye Mitscher, NP

  • Pediatric Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1952960965
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71009039A Issued in IN
Practice address
705 Riley Hospital Dr
Ri 5960
Indianapolis, IN 46202-5109
Phone
(317) 944-3889
Fax
(317) 944-3882
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 28112071A IN
Pediatric Nurse Practitioner 363LP0200X 71009039A IN Primary

Addresses

Primary practice location

705 Riley Hospital Dr
Ri 5960
Indianapolis, IN 46202-5109

Mailing address

PO Box 713577
Chicago, IL 60677-0403

Other practice location 1

211 N Eddy St
South Bend, IN 46617-2808
Phone (317) 944-3889

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmitscher@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
I20200622000360 IN Practitioner - Nurse Practitioner 9537581541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
University Pediatric Associates IncGroup PAC ID 2163326794, 100 clinicians

Practice addresses (Care Compare)

211 N Eddy St
South Bend, IN 46617-2808
Phone (888) 484-3258

705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (317) 944-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28112071AINMDPediatric Nurse Practitioner
71009039AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatric Associates, Inc. CurrentSince Mar 20, 2020 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000

4935 W Arlington Rd
Bloomington, IN 47404
Phone (812) 353-3743

11725 Illinois St
Ste 240
Carmel, IN 46032
Phone (317) 814-4590

11590 N Meridian St
Ste 300
Carmel, IN 46032
Phone (317) 944-8906

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

11725 Illinois St
Ste 450
Carmel, IN 46032
Phone (317) 688-5700

415 E Cook Rd
Ste 300
Fort Wayne, IN 46825
Phone (317) 944-6201

575 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 944-3966

705 Riley Hospital Dr
#5960
Indianapolis, IN 46202
Phone (317) 944-3889

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

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

211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331

Interoperability endpoints

  • Direct secure messaging: mmitscher@direct.iuhealth.org

Organizations & group practices 3

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1952960965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713577",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR",
            "address_2": "RI 5960",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-944-3889",
            "fax_number": "317-944-3882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 N Eddy St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466172808",
            "country_code": "US",
            "telephone_number": "317-944-3889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITSCHER",
        "first_name": "MARY",
        "middle_name": "KAYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "28112071A",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71009039A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmitscher@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "211 N Eddy St",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466172808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.