Individual provider Active NPI

Mai Sung Chin, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1992352074
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28223255C Issued in IN
Practice address
7855 S Emerson Ave Ste D
Indianapolis, IN 46237-8669
Phone
(301) 442-6914
Fax
(317) 891-5900
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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 71009301A IN
Family Nurse Practitioner 363LF0000X 28223255C IN Primary

Addresses

Primary practice location

7855 S Emerson Ave Ste D
Indianapolis, IN 46237-8669

Mailing address

7855 S Emerson Ave Ste D
Indianapolis, IN 46237-8669
Phone (317) 821-7800

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
I20190926001470 IN Practitioner - Nurse Practitioner 7214267731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7855 S Emerson Ave
Suite D
Indianapolis, IN 46237-8669
Phone (301) 442-6914

Hospital & facility affiliations

  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28223255CINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chin Family Clinic LLC CurrentSince Nov 1, 2024 Accepting new patients
David B. Ensley, MD, PC CurrentSince Mar 11, 2025 Accepting new patients

Locations

7855 S Emerson Ave
Ste D
Indianapolis, IN 46237
Phone (301) 442-6914

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400212
  • Direct secure messaging: mai.chin@hn.eclinicaldirectplus.com

Organizations & group practices 2

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1992352074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 S EMERSON AVE STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378669",
            "telephone_number": "317-821-7800",
            "fax_number": "317-891-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 S EMERSON AVE STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378669",
            "telephone_number": "301-442-6914",
            "fax_number": "317-891-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "MAI",
        "middle_name": "SUNG",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009301A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28223255C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.