PATRICIA JUSTINE IRVIN – Primary Care Nurse Practitioner, NPI 1013473297

PATRICIA JUSTINE IRVIN is a healthcare provider. based in Indianapolis, Indiana. specializing in NURSE PRACTITIONER. They hold a License No. 71008765A (IN). The NPI Number for PATRICIA JUSTINE IRVIN is 1013473297

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA JUSTINE IRVIN
NPI
1013473297
Phone
(317) 621-7547
Address
6626 E 75TH ST STE 500
Enumeration Date
13 February 2019
Last Update Date
29 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3172725563
Graduation Year
2018 (8 years ago)
PAC ID
1850630534
Group Practice PAC ID
1759416662
Professional Enrollment ID
I20190222002825
Address ID
IN461237975AV7975X36XX500

Contacts

Secure Messaging
pirvin9263@eCommunityDirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

8,191 NURSE PRACTITIONER in IN

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Provider Addresses for PATRICIA JUSTINE IRVIN

  • 500, East 75th Street, Indianapolis, Indiana, 46240, United States

    INDIANAPOLIS, IN 462502890

    Phone: (317) 621-7547

    Type: Mailing

  • 2920, North Arlington Avenue, Indianapolis, Marion, Indiana, 46218, United States

    INDIANAPOLIS, IN 462183361

    Phone: (317) 355-9315

    Type: Location

  • 2920 N Arlington Ave

    Indianapolis, IN 462183361

    Phone: (317) 355-9315

    Type: Location

  • 700 US HIGHWAY 31 S

    GREENWOOD, IN 461432401

    Phone: (317) 883-0567

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190222002825INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4948$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 46250)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759416662View full group profile

Reviews

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Frequently asked questions

What is PATRICIA JUSTINE IRVIN's NPI number?
PATRICIA JUSTINE IRVIN's NPI is 1013473297 — the number used across U.S. healthcare to identify this provider.
Is there an active status for PATRICIA JUSTINE IRVIN?
For scheduling context, PATRICIA JUSTINE IRVIN is shown as active in the registry.
What kind of doctor is PATRICIA JUSTINE IRVIN?
PATRICIA JUSTINE IRVIN is associated with Primary Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with PATRICIA JUSTINE IRVIN?
Directory geography for PATRICIA JUSTINE IRVIN centers on Indianapolis, Indiana.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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