NOLAN AHEARN – Physician Assistant, NPI 1023833696

NOLAN AHEARN is a healthcare provider. based in Indianapolis, Indiana. specializing in PHYSICIAN ASSISTANT. They hold a License No. 10004754A (IN). The NPI Number for NOLAN AHEARN is 1023833696

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
NOLAN AHEARN
NPI
1023833696
Phone
Not provided
Address
6626 E 75TH ST STE 500
Enumeration Date
19 November 2024
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3179753441
Graduation Year
2024 (2 years ago)
PAC ID
7517480213
Group Practice PAC ID
4486884871
Professional Enrollment ID
I20250402002491
Address ID
IN462379601IN5160XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for NOLAN AHEARN

  • 6626 E 75TH ST STE 500

    INDIANAPOLIS, IN 462502890

    Phone:

    Type: Mailing

  • 12751 PENNSYLVANIA ST

    CARMEL, IN 460325516

    Phone: (317) 975-3441

    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: 2025-04-02

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
I20250402002491IPhysician AssistantINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 4486884871View full group profile
NameSpecialtyState
Nurse PractitionerIN
Physician AssistantIN
Nurse PractitionerMI
Physician AssistantIL
Physician AssistantIN
Physician AssistantIN
Physician AssistantIL
Physician AssistantIN
Physician AssistantIN
-IN

Reviews

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Frequently asked questions

Is NOLAN AHEARN listed with a National Provider Identifier?
Yes — NOLAN AHEARN has NPI 1023833696 on file in the registry.
Is NOLAN AHEARN shown as active in public data?
Registry records indicate NOLAN AHEARN maintains an active NPI.
What clinical focus is listed for NOLAN AHEARN?
At a glance, NOLAN AHEARN is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Indiana is NOLAN AHEARN registered?
Use Indianapolis, Indiana as the headline location for NOLAN AHEARN here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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