Individual provider Active NPI

Noadiah Malott, NP

  • Acute Care Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1962740365
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
28154618A Issued in IN
Practice address
10982 Hoosier Rd
Fishers, IN 46037-9587
Phone
(317) 554-7983
NPI assigned
Jan 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 28154618A IN Primary

Addresses

Primary practice location

10982 Hoosier Rd
Fishers, IN 46037-9587

Mailing address

10982 Hoosier Rd
Fishers, IN 46037-9587
Phone (317) 554-7983

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
I20150923000311 IN Practitioner - Nurse Practitioner 2163739160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespan Advanced Care LLCGroup PAC ID 7911484944, 15 clinicians

Practice addresses (Care Compare)

118 Medical Dr
Carmel, IN 46032-3323
Phone (317) 844-4211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28154618AINMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Advanced Care LLC CurrentSince Dec 17, 2025 Accepting new patients
Aims, LLC CurrentSince Aug 31, 2017 Accepting new patients
Aims-Med, LLC CurrentSince May 1, 2022 Accepting new patients

Locations

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

118 Medical Dr
Carmel, IN 46032
Phone (317) 573-1037

9330 Broadway
Crown Point, IN 46307
Phone (219) 648-2400

11313 USA Pkwy
Ste E148
Fishers, IN 46037
Phone (314) 781-4500

1167 Wilson Dr
Greenwood, IN 46143
Phone (317) 851-3101

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

3525 E Hanna Ave
#L
Indianapolis, IN 46237
Phone (317) 788-4261

111 E 3rd St
Unit 764
Mishawaka, IN 46546

1625 E Jefferson Blvd
Mishawaka, IN 46545
Phone (219) 257-2295

326 Country Club Dr
New Albany, IN 47150
Phone (812) 948-1131

Organizations & group practices 4

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": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1962740365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10982 HOOSIER RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379587",
            "telephone_number": "317-554-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10982 HOOSIER RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379587",
            "telephone_number": "317-554-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOTT",
        "first_name": "NOADIAH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "28154618A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.