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ELIZABETH WATHEN RD
NPI 1043000532
Dietitian, Registered - Nutrition, Renal in Indianapolis, IN

Active since May 08, 2025Accepts Medicare Assignment
5510 S EAST ST STE H, INDIANAPOLIS, IN 46227(317) 924-8425 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2025, May 8, 2025 (2 updates tracked since 2025).

About Elizabeth Wathen Rd NPPES

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

ELIZABETH WATHEN RD (NPI 1043000532) is an individual nutrition, renal provider in Indianapolis, Indiana, licensed in (37000429A) and active in the NPI registry since May 2025. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1043000532
Entity TypeIndividualFemale
Primary Taxonomy133VN1005X
Provider Legal NameELIZABETH WATHENCredential: RD
Location Address5510 S EAST ST STE HIndianapolis, IN 46227-1939
Mailing Address120 W 22nd StOak Brook, IL 60523-1557 · (630) 573-5000
Phone(317) 924-8425
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 8, 2025
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1043000532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers
Taxonomy Code133VN1005X
License✔ Licensed · 37000429A
Definition
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 37000429A (IN)
5510 S EAST ST STE H, Indianapolis, IN 46227
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Wathen Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779090261
PECOS Enrollment IDI20250729003454

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Wathen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology Associates Of Northern Indiana, Inc
117 mi
Nephrology
11104 PARKVIEW CIRCLE DR STE 330
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 69 clinicians in this Medicare group
NPI 1578505814 (260) 494-3484

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

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

DR. PARISHURAMA SANKEPALLY REDDY M.D.
Internal Medicine (Nephrology)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Marion County (317) 924-8425
DR. MINDAUGAS ZEKONIS M.D.
Internal Medicine (Nephrology)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Marion County (317) 924-8425
MISS CAROLYNE JEPCHIRCHIR JEPKORIR M.D.
Internal Medicine (Nephrology)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Marion County (317) 924-8425
DR. JEREMY SCOTT WITTENBORN M.D.
Internal Medicine (Nephrology)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Marion County (317) 924-8425
DR. KASHIF MANZOOR MD
Internal Medicine (Nephrology)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Marion County (317) 924-8425
JILL ALISON PLICHTA ANP-BC
Internal Medicine (Nephrology)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Marion County (317) 924-8425
KISHA EDWARDS NP
Nurse Practitioner (Family)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Marion County (317) 924-8425
DR. JAMES CHRISTIAN ELLIOTT M.D.
Internal Medicine (Nephrology)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Marion County (317) 924-8425

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 Elizabeth Wathen's NPI number?

The NPI number for Elizabeth Wathen is 1043000532. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Elizabeth Wathen located?

Elizabeth Wathen practices at 5510 S East St Ste H, Indianapolis, IN 46227. The listed phone number is (317) 924-8425.

What is Elizabeth Wathen's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

Is Elizabeth Wathen enrolled in Medicare?

Yes. Elizabeth Wathen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Elizabeth Wathen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Wathen reassigns Medicare benefits to Nephrology Associates Of Northern Indiana, Inc (Fort Wayne, IN). The 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 Elizabeth Wathen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Wathen accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Elizabeth Wathen 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 Elizabeth Wathen was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.