DRAGONFLY PRIMARY CARE LLC
NPI 1033782156
Nurse Practitioner - Family in Indianapolis, IN
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 lists Crystal Dawn Wiles, Owner., Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dragonfly Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Dragonfly Primary Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Dragonfly Primary Care LLC enrolled in Medicare?
Yes. Dragonfly Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dragonfly Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Dragonfly Primary Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dragonfly Primary Care LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource 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.
# Dragonfly Primary Care Llc · NPI 1033782156
Family organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since July 19, 2021.
## Identity
- **NPI:** 1033782156 (Entity type: Organization)
- **Enumerated:** July 19, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Crystal Wiles, OWNER., AUTHORIZED OFFICIAL
## Practice location
- **Address:** 6835 E SOUTHPORT RD STE D, Indianapolis, IN 46237-9714
- **Phone:** (317) 501-8496
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1033782156) · Data from the CMS NPPES public registry.