Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Physician of Indiana, Inc

Organization Family Nurse Practitioner · NPI 1639560477

Community Physician of Indiana, Inc is a Family Nurse Practitioner in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7240 Shadeland Sta Ste 300
Indianapolis, IN 46256-3928
Phone: (317) 621-9312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28193222A (IN)

Record details

NPI number1639560477
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrick Rankin — Chief Medical Officer · (317) 621-9312
NPI enumeratedFebruary 16, 2015
Last updated in NPPESFebruary 16, 2015
Mailing address7240 Shadeland Sta, Suite 300, Indianapolis, IN 46256-3928

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