DANIELLE PFEFFER FNP
NPI 1386000479
Nurse Practitioner - Family in Avon, IN

Active since January 06, 2016PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
120 AVON MARKET PL STE 100, AVON, IN 46123(317) 396-1300(317) 396-1395 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2021, Sep 13, 2018 (2 updates tracked since 2018).

About Danielle Pfeffer Fnp NPPES

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

DANIELLE PFEFFER FNP (NPI 1386000479) is an individual family provider in Avon, Indiana, licensed in Indiana (71006077A) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Hendricks Regional Health, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1386000479
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANIELLE PFEFFERCredential: FNP
Location Address120 AVON MARKET PL STE 100Avon, IN 46123-6021
Mailing Address13345 Illinois StCarmel, IN 46032-3318 · (317) 396-1328 · Fax (317) 352-3417
Fax(317) 396-1395
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 6, 2016
Last NPPES UpdateJune 13, 20222 updates tracked since enumeration
NPPES CertifiedJune 13, 2022
NPI 1386000479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IN · 71006077A Licensed in IN · 28175375A
120 AVON MARKET PL STE 100, Avon, IN 46123

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

Danielle Pfeffer Fnp 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 ID8628373727
PECOS Enrollment IDI20160229000475
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
488 services355 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
232 services162 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Hendricks Regional Health

Acute Care Hospitals · Danville, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150005
Location1000 E Main StDanville, IN 46122 · Hendricks County
Emergency services Birthing friendly

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

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.

Anesthesiology (Pain Medicine)
120 AVON MARKET PL STE 100
AVON, IN 46123
Neurological Surgery
120 AVON MARKET PL STE 100
AVON, IN 46123
Neurological Surgery
120 AVON MARKET PL STE 100
AVON, IN 46123
Nurse Practitioner (Primary Care)
120 AVON MARKET PL STE 100
AVON, IN 46123
Nurse Practitioner (Family)
120 AVON MARKET PL STE 100
AVON, IN 46123

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 Danielle Pfeffer's NPI number?

The NPI number for Danielle Pfeffer is 1386000479. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Where is Danielle Pfeffer located?

Danielle Pfeffer practices at 120 Avon Market Pl Ste 100, Avon, IN 46123. The listed phone number is (317) 396-1300.

What is Danielle Pfeffer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Danielle Pfeffer enrolled in Medicare?

Yes. Danielle Pfeffer 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.

What insurance does Danielle Pfeffer accept?

Health plans from CareSource list Danielle Pfeffer 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 Danielle Pfeffer affiliated with any hospitals?

According to CMS data, Danielle Pfeffer is affiliated with Hendricks Regional Health, Union Hospital Inc, Indiana University Health, Ascension St Vincent Hospital and Iu Health West Hospital.

When was this NPI record last updated?

The NPPES record for Danielle Pfeffer was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.