Individual provider Active NPI

Michelle Rene Lashorne, AG-ACNP

  • Acute Care Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1972945194
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71004520A Issued in IN
Practice address
4040 Vincennes Cir
Indianapolis, IN 46268-3027
Phone
(855) 992-4672
NPI assigned
Jul 30, 2013
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 71004520A IN Primary

Addresses

Primary practice location

4040 Vincennes Cir
Indianapolis, IN 46268-3027

Mailing address

5966 Tioga CT
Bargersville, IN 46106-8451

Other identifiers 1

IdentifierTypeStateIssuer
201210180MedicaidIN

Other names 1

  • Michelle Rene Smith Former name

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
I20140301000047 IN Practitioner - Nurse Practitioner 5597995084 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Mobile MD LLCGroup PAC ID 1052617826, 27 clinicians
My Mobile MD Indiana LLCGroup PAC ID 9830607605, 29 clinicians

Practice addresses (Care Compare)

429 E Vermont St
Suite 110
Indianapolis, IN 46202-3685
Phone (317) 559-0950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
My Mobile MD LLC CurrentSince Jul 15, 2024 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince Feb 1, 2014 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince Feb 1, 2014 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Apr 1, 2024 Accepting new patients
My Mobile MD Indiana LLC CurrentSince Dec 30, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Apr 1, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

5819 Reliable Pkwy
Chicago, IL 60686

429 E Vermont St
Ste 110
Indianapolis, IN 46202
Phone (317) 536-2290

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

1402 E County Line Rd
Southport, IN 46227
Phone (317) 887-7000

Interoperability endpoints

  • Direct secure messaging: michelle.smith.1@7598.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1972945194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5966 TIOGA CT",
            "city": "BARGERSVILLE",
            "state": "IN",
            "postal_code": "461068451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 VINCENNES CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683027",
            "telephone_number": "855-992-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHORNE",
        "first_name": "MICHELLE",
        "middle_name": "RENE",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71004520A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201210180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SMITH",
            "middle_name": "RENE",
            "credential": "AG-ACNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.