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LIDYS LORENA JUAREZ
NPI 1508740820
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since July 31, 2025PECOS Enrolled
1040 WISHARD BLVD, INDIANAPOLIS, IN 46202(317) 278-7930 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lidys Lorena Juarez NPPES

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

LIDYS LORENA JUAREZ (NPI 1508740820) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since July 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508740820
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameLIDYS LORENA JUAREZ
Location Address1040 WISHARD BLVDIndianapolis, IN 46202-2872
Mailing Address1040 Wishard BlvdIndianapolis, IN 46202-2872 · (317) 278-7930
Phone(317) 278-7930
Sole ProprietorNo
Enumeration DateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1508740820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1040 WISHARD BLVD, Indianapolis, IN 46202
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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 (PECOS)

Lidys Lorena Juarez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

RUBEN HERNAN HERNANDEZ MONDRAGON MD
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
DR. ZACHARY COLE WAGNER DO
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD, DUNLAP BUILDING
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090
ANIKA TAHSIN SHAFIE MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090
LEA FEGHALI
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
MAITE BASTYR MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 963-4634
NICHOLAS REDILLA III
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-7930
ALLISON MARIE TANN NP
Nurse Practitioner (Family)
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
DR. AXELLE MAYODE ATCHADE MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090

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 Lidys Juarez's NPI number?

The NPI number for Lidys Juarez is 1508740820. It was assigned to this individual provider in the NPPES registry on July 31, 2025.

Where is Lidys Juarez located?

Lidys Juarez practices at 1040 Wishard Blvd, Indianapolis, IN 46202. The listed phone number is (317) 278-7930.

What is Lidys Juarez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lidys Juarez enrolled in Medicare?

Yes. Lidys Juarez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lidys Juarez was last updated on July 31, 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.