LONGEVITY CLINICAL LTC ASSOCIATES OF INDIANA, PC
NPI 1497581250
Family Medicine - Geriatric Medicine in Indianapolis, IN

Q: What is Longevity Clinical Ltc Associates Of Indiana, PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since September 10, 2024

2640 COLD SPRING RD, INDIANAPOLIS, IN 46222(317) 923-1518 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Longevity Clinical Ltc Associates Of Indiana, Pc NPPES

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

LONGEVITY CLINICAL LTC ASSOCIATES OF INDIANA, PC (NPI 1497581250) is a healthcare organization registered as a geriatric medicine in Indianapolis, Indiana and active in the NPI registry since September 2024. The organization lists Diane Vincur, Manager, as its authorized official.

NPPES Registry Identity

NPI1497581250

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameLONGEVITY CLINICAL LTC ASSOCIATES OF INDIANA, PC

Location Address2640 COLD SPRING RDIndianapolis, IN 46222-2272

Mailing Address11780 Us Highway 1 Ste N107North Palm Beach, FL 33408-3007 · (561) 815-2427

Phone(317) 923-1518

Organization SubpartNo

Authorized OfficialDiane VincurManager · (561) 815-2427

Enumeration DateSeptember 10, 2024

NPPES CertifiedSeptember 10, 2024

✔ NPI 1497581250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

2640 COLD SPRING RD, Indianapolis, IN 46222

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Longevity Clinical Ltc Associates Of Indiana, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Longevity Clinical Ltc Associates Of Indiana, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Lindsey Robertson, NP

Nurse Practitioner

NPI 1982039244

714 N SENATE AVE SUITE 100
Indianapolis, IN 46202

(317) 715-6402

✔ PECOS2.9 mi

Donna Gettle, FNP-C

Nurse Practitioner

NPI 1144950254

7440 WOODLAND DR
Indianapolis, IN 46278

(317) 995-7629

✔ PECOS6.7 mi

Rebecca Koenig, FNP

Nurse Practitioner

NPI 1407308372

333 S MADISON ST OPEN DOOR HEALTH SERVICES
Muncie, IN 47305

(765) 286-7000

✔ PECOS51 mi

Brooke West, FNP-C

Nurse Practitioner

NPI 1003528639

2400 CHATEAU DR
Muncie, IN 47303

(655) 781-5017

✔ PECOS52 mi

Connie Tishner, FNP- C

Nurse Practitioner

NPI 1629623392

317 BLAIR PIKE
Peru, IN 46970

(765) 480-9525

✔ PECOS66 mi

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 Longevity Clinical Ltc Associates Of Indiana, PC's NPI number?

The NPI number for Longevity Clinical Ltc Associates Of Indiana, PC is 1497581250. It was assigned to this organization in the NPPES registry on September 10, 2024.

Where is Longevity Clinical Ltc Associates Of Indiana, PC located?

Longevity Clinical Ltc Associates Of Indiana, PC is located at 2640 Cold Spring Rd, Indianapolis, IN 46222. The listed phone number is (317) 923-1518.

What is Longevity Clinical Ltc Associates Of Indiana, PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Longevity Clinical Ltc Associates Of Indiana, PC enrolled in Medicare?

Yes. Longevity Clinical Ltc Associates Of Indiana, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Longevity Clinical Ltc Associates Of Indiana, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Longevity Clinical Ltc Associates Of Indiana, PC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Longevity Clinical Ltc Associates Of Indiana, PC was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.