LITTLE CLINIC OF IN LLC – Family Nurse Practitioner, NPI 1558791384
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LITTLE CLINIC OF IN LLC
PO BOX 932958
CLEVELAND, OH 441930028
Phone: (615) 425-4200
Fax: (615) 425-4201
Type: Mailing
815 HIGHLANDER POINT DR
FLOYDS KNOBS, IN 471199470
Phone: (812) 923-7146
Fax: (812) 923-7157
Type: Location
200 New Albany Plz
New Albany, IN 471504658
Phone: (812) 941-3080
Fax: (812) 941-3081
Type: Location
305 E Lewis and Clark Pkwy
Clarksville, IN 471291758
Phone: (812) 590-7230
Fax: (812) 590-7231
Type: Location
1930 E Main St
Plainfield, IN 461681859
Phone: (317) 838-3596
Fax: (317) 268-0071
Type: Location
9501 County Road 403
Charlestown, IN 471118939
Phone: (812) 256-2338
Fax: (812) 256-2497
Type: Location
970 N Morton St
Franklin, IN 461311373
Phone: (317) 494-4320
Fax: (317) 494-4321
Type: Location
1027 Jeffersonville Commons Dr
Jeffersonvlle, IN 471308395
Phone: (812) 288-0011
Fax: (812) 288-0012
Type: Location
11700 Olio Rd
Fishers, IN 460377618
Phone: (317) 436-4950
Fax: (317) 576-2367
Type: Location
1217 S Rangeline Rd
Carmel, IN 460322519
Phone: (317) 574-4680
Fax: (317) 574-4677
Type: Location
1330 W Southport Rd
Indianapolis, IN 462175301
Phone: (317) 884-4256
Fax: (317) 807-0427
Type: Location
150 W 161st St
Westfield, IN 460748565
Phone: (317) 896-5405
Fax: (317) 896-5905
Type: Location
1175 S College Mall Rd
Bloomington, IN 474016177
Phone: (812) 323-4301
Fax: (812) 323-4551
Type: Location
8745 S Emerson Ave
Indianapolis, IN 462379400
Phone: (317) 807-0409
Fax: (317) 807-0410
Type: Location
5961 N State Road 135
Greenwood, IN 461435617
Phone: (317) 530-3091
Fax: (317) 530-3092
Type: Location
5718 Crawfordsville Rd
Indianapolis, IN 462243704
Phone: (317) 240-5001
Fax: (317) 240-5010
Type: Location
5350 E Thompson Rd
Indianapolis, IN 462372059
Phone: (317) 396-0814
Fax: (317) 781-3562
Type: Location
3060 N National Rd
Columbus, IN 472013236
Phone: (812) 314-7955
Fax: (812) 314-7956
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: 2014-03-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (344 days ago).
Enrollment records
1
Earliest due date
2025-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20140324000324 | O | Clinic/Group Practice | IN | 2025-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 44193)
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