Individual provider Active NPI

Michelle L Carlos, FNP-C

  • Family Nurse Practitioner
  • Anderson, IN
National Provider Identifier
1962668301
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002701A Issued in IN
Practice address
1210 Medical Arts Blvd Ste 114
Anderson, IN 46011-3442
Phone
(765) 298-4545
Fax
(765) 298-4945
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71002701A IN Primary
Registered Nurse 163W00000X 28159287A IN

Addresses

Primary practice location

1210 Medical Arts Blvd Ste 114
Anderson, IN 46011-3442

Mailing address

6983 Hillsdale CT
Indianapolis, IN 46250-2054
Phone (317) 308-2870

Other identifiers 1

IdentifierTypeStateIssuer
200985700MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.carlos@cinjwm.directbygreenway.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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080910000291 IN Practitioner - Nurse Practitioner 3779659024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Josephson-Wallack-Munshower Neurology PCGroup PAC ID 6709868870, 59 clinicians

Practice addresses (Care Compare)

2101 Jackson St
Suite 106
Anderson, IN 46016-4386
Phone (765) 298-4545

Hospital & facility affiliations

  • Community Hospital of Anderson and Madison County Hospital, Anderson, IN, CCN 150113
  • Riverview Health Hospital, Noblesville, IN, CCN 150059

Merit-based Incentive Payment System (MIPS)

Final score
69.89 of 100Reported as group
Promoting interoperability
56
Improvement activities
40
Cost
76.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71002701AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Josephson-Wallack-Munshower Neurology PC CurrentSince Jun 15, 2015 Accepting new patients
Indiana University Health Care Associates, Inc Family CurrentSince May 27, 2010 Accepting new patients
Josephson-Wallack-Munshower Neurology PC Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

2101 Jackson St
Ste 106
Anderson, IN 46016
Phone (765) 298-4545

1210 Medical Arts Blvd
Ste 114
Anderson, IN 46011
Phone (765) 298-4425

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

6983 Hillsdale Ct
Indianapolis, IN 46250

1400 N Ritter Ave
Ste 220
Indianapolis, IN 46219
Phone (317) 355-1555

325 Westfield Rd
Ste D
Noblesville, IN 46060
Phone (317) 872-1161

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1753
  • Direct secure messaging: michelle.carlos@cinjwm.directbygreenway.com
  • Direct secure messaging: mcarlos@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.

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1962668301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6983 HILLSDALE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502054",
            "telephone_number": "317-308-2870",
            "fax_number": "317-576-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 MEDICAL ARTS BLVD STE 114",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113442",
            "telephone_number": "765-298-4545",
            "fax_number": "765-298-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOS",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002701A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28159287A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200985700",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.carlos@cinjwm.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1210 Medical Arts Blvd Ste 114",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460113442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.