IBITAYO K ARISE
NPI 1104699263
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN

Active since November 01, 2023PECOS EnrolledAccepts Medicare Assignment
3850 SHORE DR STE 315, INDIANAPOLIS, IN 46254(317) 429-0061 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ibitayo K Arise NPPES

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

IBITAYO K ARISE (NPI 1104699263) is an individual psychiatric/mental health provider in Indianapolis, Indiana, licensed in Indiana (71014315A) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104699263
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIBITAYO K ARISE
Location Address3850 SHORE DR STE 315Indianapolis, IN 46254-4693
Mailing Address8471 Ballyshannon DrBrownsburg, IN 46112-7320 · (317) 985-5899
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
NPI 1104699263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IN · 71014315A
3850 SHORE DR STE 315, Indianapolis, IN 46254

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ibitayo K Arise 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 ID9436689817
PECOS Enrollment IDI20250214001024
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46254 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Nephrology)
3850 SHORE DR STE 315
INDIANAPOLIS, IN 46254
Surgery
3850 SHORE DR STE 315
INDIANAPOLIS, IN 46254
Nurse Practitioner
3850 SHORE DR STE 315
INDIANAPOLIS, IN 46254
Psychiatry & Neurology (Psychiatry)
3850 SHORE DR STE 315
INDIANAPOLIS, IN 46254
Nurse Practitioner (Psychiatric/Mental Health)
3850 SHORE DR STE 315
INDIANAPOLIS, IN 46254

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104699263, enumerated as an "individual" on November 01, 2023.

The provider is located at 3850 SHORE DR STE 315 INDIANAPOLIS, IN 46254 and the phone number is (317) 429-0061.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: CareSource, Providence Health Plan and. Please consult your insurance carrier or call the provider to verify.