MACNIFICENT MINDS
NPI 1073497574
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN
About Macnificent Minds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACNIFICENT MINDS (NPI 1073497574) is a healthcare organization registered as a psychiatric/mental health in Indianapolis, Indiana and active in the NPI registry since August 2025. The organization lists Ashlee Mack, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Macnificent Minds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Macnificent Minds, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Macnificent Minds's NPI number?
The NPI number for Macnificent Minds is 1073497574. It was assigned to this organization in the NPPES registry on August 5, 2025.
Where is Macnificent Minds located?
Macnificent Minds is located at 4333 Village Trace Ct, Indianapolis, IN 46254. The listed phone number is (463) 222-9605.
What is Macnificent Minds's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Macnificent Minds enrolled in Medicare?
Yes. Macnificent Minds is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Macnificent Minds?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Macnificent Minds. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Macnificent Minds was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.
# Macnificent Minds · NPI 1073497574
Psychiatric/Mental Health organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since August 5, 2025.
## Identity
- **NPI:** 1073497574 (Entity type: Organization)
- **Enumerated:** August 5, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Ashlee Mack, OWNER
## Practice location
- **Address:** 4333 VILLAGE TRACE CT, Indianapolis, IN 46254-6232
- **Phone:** (463) 222-9605 · **Fax:** (317) 342-8372
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073497574) · Data from the CMS NPPES public registry.