Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Andrew Everett Lasley, PA-C

Individual provider Physician Assistant · NPI 1568195246

Mr. Andrew Everett Lasley, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2022, 4 years ago. Practices with Raphael Health Center Inc, a 14-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

401 E 34th St
Indianapolis, IN 46205-3754
Phone: (317) 926-1507
Fax: (317) 926-1508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1568195246
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 8, 2022
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Raphael Health Center Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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