Ms Lori S Fishburn, FNP-C - Medicare Nurse Practitioner in Indianapolis, IN

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Ms Lori S Fishburn, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Indianapolis, Indiana. Her current practice location is 3400 Lafayette Rd Ste 200, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 291-7422.

Ms Lori S Fishburn is licensed to practice in Indiana (license number 71007071A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922544584.

Contact Information

Ms Lori S Fishburn, FNP-C
3400 Lafayette Rd Ste 200,
Indianapolis, IN 46222-1147
(317) 291-7422
(317) 291-7433

Map and Direction




Provider's Profile

Full NameMs Lori S Fishburn
GenderFemale
SpecialityNurse Practitioner - Family
Location3400 Lafayette Rd Ste 200, Indianapolis, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922544584
  • Provider Enumeration Date: 01/06/2017
  • Last Update Date: 03/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092092759
  • Enrollment ID: I20170505000492

Medical Identifiers

Medical identifiers for Ms Lori S Fishburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922544584NPI-NPPES
300002197MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 71007071A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71007071A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Lori S Fishburn allows following entities to bill medicare on her behalf.
Entity NameHealthnet Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780634964
PECOS PAC ID: 7214840933
Enrollment ID: O20031110000227
Entity NameMeridian Health Services Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992755490
PECOS PAC ID: 5597679845
Enrollment ID: O20031119000531
Entity NameShalom Health Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992924633
PECOS PAC ID: 3779471750
Enrollment ID: O20040621000467
Entity NameDrynachan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891044657
PECOS PAC ID: 2264718824
Enrollment ID: O20170606001826

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lori S Fishburn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Lori S Fishburn, FNP-C
3403 E Raymond St,
Indianapolis, IN 46203-4744

Ph: (317) 957-2000		Ms Lori S Fishburn, FNP-C
3400 Lafayette Rd Ste 200,
Indianapolis, IN 46222-1147

Ph: (317) 291-7422

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.