ADDISTYN TRUDI NUNLEY PA-C
NPI 1144193178
Physician Assistant in Lafayette, IN

Q: What is Addistyn Nunley's NPI number?

The NPI number for Addistyn Nunley is 1144193178. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Q: What is Addistyn Nunley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Addistyn Nunley was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 25, 2025PECOS EnrolledAccepts Medicare Assignment

1411 S CREASY LN STE 120, LAFAYETTE, IN 47905(765) 447-4165(765) 446-5317 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Addistyn Trudi Nunley Pa-c NPPES

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

ADDISTYN TRUDI NUNLEY PA-C (NPI 1144193178) is an individual physician assistant in Lafayette, Indiana, licensed in Indiana (10005127A) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Lafayette, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1144193178

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameADDISTYN TRUDI NUNLEYCredential: PA-C

Location Address1411 S CREASY LN STE 120Lafayette, IN 47905-7433

Mailing Address1411 S Creasy Ln Ste 120Lafayette, IN 47905-7433 · (765) 447-4165 · Fax (765) 446-5317

Phone(765) 447-4165

Fax(765) 446-5317

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 25, 2025

Last NPPES UpdateDecember 5, 2025

NPPES CertifiedDecember 5, 2025

✔ NPI 1144193178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10005127A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1411 S CREASY LN STE 120, Lafayette, IN 47905

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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

Addistyn Trudi Nunley Pa-c 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 ID9830684695

PECOS Enrollment IDI20251218003353

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150109

Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47905 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

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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 10

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

KYLIE CAMPBELL CST

Specialist/Technologist, Other (Surgical Technologist)