Individual provider Active NPI

Elizabeth G Massel, PA-C

  • Medical Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1972333664
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10004478A Issued in IN
Practice address
5350 E Thompson Rd
Indianapolis, IN 46237-2059
Phone
(615) 424-4201
Fax
(317) 781-3562
NPI assigned
Aug 6, 2024
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10004478A IN
Medical Physician Assistant 363AM0700X 10004478A IN Primary

Addresses

Primary practice location

5350 E Thompson Rd
Indianapolis, IN 46237-2059

Mailing address

PO Box 932958 PO Box 932958
Cleveland, OH 44193-0001
Phone (615) 425-4200

Other practice location 1

1801 N Senate Blvd
Ste 535
Indianapolis, IN 46202-1204
Phone (317) 944-9400

Other identifiers 2

IdentifierTypeStateIssuer
300095461MedicaidIN
1104321083OtherINANTHEM PTAN

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
I20240920000248 IN Practitioner - Physician Assistant 8426599234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Clinic of in LLCGroup PAC ID 7719118447, 66 clinicians

Practice addresses (Care Compare)

1330 W Southport Rd
Indianapolis, IN 46217-5301
Phone (317) 884-4256

150 W 161St St
Westfield, IN 46074-8565
Phone (317) 896-5405

1930 E Main St
Plainfield, IN 46168-1859
Phone (317) 838-3596

3060 N National Rd
Columbus, IN 47201-3236
Phone (812) 314-7955

5350 E Thompson Rd
Indianapolis, IN 46237-2059
Phone (317) 396-0814

5961 N State Rd
Suite 135
Greenwood, IN 46143-5617
Phone (317) 530-3091

815 Highlander Point Dr
Floyds Knobs, IN 47119-9470
Phone (812) 923-7146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Iu Health Medical Group, LLC Physician Assistant Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

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

Interoperability endpoints

  • Direct secure messaging: elizabeth.massel@krogerhealth.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1972333664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958 PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930001",
            "telephone_number": "615-425-4200",
            "fax_number": "615-425-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 E THOMPSON RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372059",
            "telephone_number": "615-424-4201",
            "fax_number": "317-781-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 N Senate Blvd",
            "address_2": "Ste 535",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021204",
            "country_code": "US",
            "telephone_number": "317-944-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEL",
        "first_name": "ELIZABETH",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004478A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10004478A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300095461",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "1104321083",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.