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CARRIE MEFFORD PMHNP-BC
NPI 1376184556
Nurse Practitioner - Psychiatric/Mental Health in Shelbyville, IN

Active since September 30, 2019PECOS EnrolledAccepts Medicare Assignment
1818 E STATE ROAD 44 STE B, SHELBYVILLE, IN 46176(317) 421-6060(317) 398-0662 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carrie Mefford Pmhnp-bc NPPES

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

CARRIE MEFFORD PMHNP-BC (NPI 1376184556) is an individual psychiatric/mental health provider in Shelbyville, Indiana, licensed in Indiana (28215706A) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Major Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376184556
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCARRIE MEFFORDCredential: PMHNP-BC
Location Address1818 E STATE ROAD 44 STE BShelbyville, IN 46176-1814
Mailing Address1818 E State Road 44 Ste BShelbyville, IN 46176-1814 · (317) 421-6060 · Fax (317) 398-0662
Phone(317) 421-6060
Fax(317) 398-0662
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 30, 2019
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
✔ NPI 1376184556 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 · 28215706A
1818 E STATE ROAD 44 STE B, Shelbyville, IN 46176
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Carrie Mefford Pmhnp-bc 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 ID4688090699
PECOS Enrollment IDI20200820000878
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carrie Mefford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jane Pauley Community Health Center Inc
22 mi
Federally Qualified Health Center (FQHC)
1503 N MITTHOEFFER RD STE 150
Indianapolis, IN 46229
  • Reassigned Medicare billing, Indiana enrollment
  • 153 clinicians in this Medicare group
NPI 1730488818 (317) 934-0755
State Of Indiana, Auditor Of State
24 mi
Psychiatric Hospital
5435 EAST 16TH STREET
Indianapolis, IN 46218
  • Reassigned Medicare billing, Indiana enrollment
  • 112 clinicians in this Medicare group
NPI 1043338684 (317) 941-4000

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
126 services11 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
91 services12 patients

Hospital Affiliations CMS Care Compare

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

Major Hospital

Acute Care Hospitals · Shelbyville, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150097
Location2451 Intelliplex DrShelbyville, IN 46176 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46176 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

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

ALICIA RAY-WOLFE
Nurse Practitioner (Family)
1818 E STATE ROAD 44 STE B
SHELBYVILLE, IN 46176
Shelby County (317) 421-6060

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 Carrie Mefford's NPI number?

The NPI number for Carrie Mefford is 1376184556. It was assigned to this individual provider in the NPPES registry on September 30, 2019.

Where is Carrie Mefford located?

Carrie Mefford practices at 1818 E State Road 44 Ste B, Shelbyville, IN 46176. The listed phone number is (317) 421-6060.

What is Carrie Mefford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carrie Mefford enrolled in Medicare?

Yes. Carrie Mefford 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 organizations bill Medicare for Carrie Mefford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Mefford reassigns Medicare benefits to 2 organizations: Jane Pauley Community Health Center Inc (Indianapolis, IN) and State Of Indiana, Auditor Of State (Indianapolis, IN). Each 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 Carrie Mefford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carrie Mefford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Carrie Mefford 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.

Is Carrie Mefford affiliated with any hospitals?

According to CMS data, Carrie Mefford is affiliated with Major Hospital.

When was this NPI record last updated?

The NPPES record for Carrie Mefford was last updated on October 16, 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.