MRS. MONICA RAE DEFORD (NP) – Nurse Practitioner, NPI 1538869458

MRS. MONICA RAE DEFORD (NP) is a healthcare provider. based in Indianapolis, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 71010678A (IN). The NPI Number for MRS. MONICA RAE DEFORD (NP) is 1538869458

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MONICA RAE DEFORD (NP)
NPI
1538869458
Phone
Not provided
Address
6626 E 75TH ST STE 500
Enumeration Date
8 March 2023
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3176217800
Graduation Year
2019 (7 years ago)
PAC ID
2163897653
Group Practice PAC ID
1052819869
Professional Enrollment ID
I20230414002061
Address ID
IN462561662IN8177XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for MRS. MONICA RAE DEFORD (NP)

  • 6626 E 75TH ST STE 500

    INDIANAPOLIS, IN 462502890

    Phone:

    Type: Mailing

  • 8890 E 116TH ST STE 130

    FISHERS, IN 460382856

    Phone: (317) 621-7030

    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: 2023-04-14

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
I20230414002061INurse 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.

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: 1052819869View full group profile
NameSpecialtyState
Family PracticeIN
Physician AssistantIN
Nurse PractitionerIN
Physician AssistantIN
Nurse PractitionerIN
Family PracticeIN
Nurse PractitionerIN
Physician AssistantIN
Physician AssistantIN
Physician AssistantIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. MONICA RAE DEFORD (NP)?
MRS. MONICA RAE DEFORD (NP) — NPI 1538869458 — is the standard way to identify this listing.
Does the file indicate MRS. MONICA RAE DEFORD (NP) is practicing under active NPI?
Directory data currently reports MRS. MONICA RAE DEFORD (NP) as active.
What is MRS. MONICA RAE DEFORD (NP)'s primary classification?
Nurse Practitioner is the headline specialty for MRS. MONICA RAE DEFORD (NP) here. Clinical services aligned with this taxonomy classification.
What area does MRS. MONICA RAE DEFORD (NP) serve?
MRS. MONICA RAE DEFORD (NP)'s listing highlights Indianapolis, Indiana; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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