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DRAGONFLY PRIMARY CARE LLC
NPI 1033782156
Nurse Practitioner - Family in Indianapolis, IN

Active since July 19, 2021CLIA 15D2234233 · Waiver
6835 E SOUTHPORT RD STE D, INDIANAPOLIS, IN 46237(317) 501-8496 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dragonfly Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DRAGONFLY PRIMARY CARE LLC (NPI 1033782156) is a healthcare organization registered as a family in Indianapolis, Indiana and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Crystal Dawn Wiles, Owner., Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1033782156
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDRAGONFLY PRIMARY CARE LLC
Location Address6835 E SOUTHPORT RD STE DIndianapolis, IN 46237-9714
Mailing Address6835 E Southport Rd Ste DIndianapolis, IN 46237-9714 · (317) 501-8496
Phone(317) 501-8496
Organization SubpartNo
Authorized OfficialCrystal Dawn WilesOwner., Authorized Official · (317) 501-8496
Enumeration DateJuly 19, 2021
NPPES CertifiedJuly 19, 2021
✔ NPI 1033782156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
6835 E SOUTHPORT RD STE D, Indianapolis, IN 46237
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2234233

Dragonfly Primary Care · Indianapolis, IN
Active · expires Aug 29, 2027
CLIA Number15D2234233
Laboratory TypePractitioner Other
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorCrystal D. Wiles
Laboratory Phone(317) 759-1843
Laboratory LocationDragonfly Primary Care6835 E Southport Rd Suite D, Indianapolis, IN 46237
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DRAGONFLY ADVANCED WOUND CARE
Clinic/Center
6835 E SOUTHPORT RD STE D
INDIANAPOLIS, IN 46237
Marion County (317) 572-7076
BEE WELL COUNSELING LLC
Counselor (Mental Health)
6835 E SOUTHPORT RD STE D
INDIANAPOLIS, IN 46237
Marion County (317) 992-9212
SAMANTHA HOCKETT FNP
Nurse Practitioner (Family)
6835 E SOUTHPORT RD STE D
INDIANAPOLIS, IN 46237
Marion County (317) 759-1843
CRYSTAL WILES
Nurse Practitioner (Family)
6835 E SOUTHPORT RD STE D
INDIANAPOLIS, IN 46237
Marion County (317) 759-1843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dragonfly Primary Care LLC's NPI number?

The NPI number for Dragonfly Primary Care LLC is 1033782156. It was assigned to this organization in the NPPES registry on July 19, 2021.

Where is Dragonfly Primary Care LLC located?

Dragonfly Primary Care LLC is located at 6835 E Southport Rd Ste D, Indianapolis, IN 46237. The listed phone number is (317) 501-8496.

What is Dragonfly Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Dragonfly Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2234233) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dragonfly Primary Care LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Dragonfly Primary Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dragonfly Primary Care LLC was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.