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LIFESPAN ADVANCED CARE LLC
NPI 1558238345
Nurse Practitioner - Gerontology in Carmel, IN

Active since October 17, 2025
118 MEDICAL DR, CARMEL, IN 46032(317) 781-4500(317) 781-4500 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 28, 2026, Mar 20, 2026, Mar 5, 2026 and 1 more (4 updates tracked since 2026).

About Lifespan Advanced Care Llc NPPES

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

LIFESPAN ADVANCED CARE LLC (NPI 1558238345) is a healthcare organization registered as a gerontology in Carmel, Indiana and active in the NPI registry since October 2025. The organization maintains 20 additional practice locations and lists Zach Cattell, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1558238345
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameLIFESPAN ADVANCED CARE LLC
Location Address118 MEDICAL DRCarmel, IN 46032-3323
Mailing AddressPo Box 181168Fairfield, OH 45018-1168 · (317) 781-4500 · Fax (317) 781-4500
Phone(317) 781-4500
Fax(317) 781-4500
Organization SubpartNo
Authorized OfficialZach CattellPresident/ceo · (317) 340-6416
Enumeration DateOctober 17, 2025
Last NPPES UpdateMay 28, 20264 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1558238345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
118 MEDICAL DR, Carmel, IN 46032
Open in Google Maps ↗

Secondary Practice Locations 20

Location 1205 Marine DrAnderson, IN 46016-5937 · Phone (765) 649-4558
Location 2300 Jh Walker DrPendleton, IN 46064-8730 · Phone (765) 778-7501
Location 33701 Hodgin RdRichmond, IN 47374-7443 · Phone (765) 939-3701
Location 4559 W Longest StPaoli, IN 47454-9670 · Phone (812) 723-2595
Location 53154 S State Road 135Greenwood, IN 46143-9609 · Phone (317) 535-3344
Location 61925 Reeves RdPlainfield, IN 46168-5501 · Phone (317) 838-7070
Location 7621 S Sugar StBrownstown, IN 47220-2066 · Phone (812) 358-2501
Location 8937 Fry RdGreenwood, IN 46142-1820 · Phone (317) 881-3535
Location 91667 Sheridan RdNoblesville, IN 46062-8723 · Phone (317) 770-3400
Location 1011851 Cumberland RdFishers, IN 46037-8273 · Phone (317) 813-4444
Location 111701 McDowell RdEvansville, IN 47712-5431 · Phone (812) 985-9955
Location 121111 Church AveJasper, IN 47546-3761 · Phone (812) 634-7750
Location 13725 N Bell Trace CirBloomington, IN 47408-4408 · Phone (812) 323-2858
Location 141250 W 146th StWestfield, IN 46074-9870 · Phone (317) 844-5050
Location 153525 E Hanna AveIndianapolis, IN 46237-1230 · Phone (317) 788-4261
Location 16625 E Water StPendleton, IN 46064-8551 · Phone (765) 778-2384
Location 171380 E County Line RdIndianapolis, IN 46227-0962 · Phone (317) 885-7050
Location 18868 S Washington StMorristown, IN 46161-9633 · Phone (765) 763-6012
Location 19326 Country Club DrNew Albany, IN 47150-4618 · Phone (812) 948-1311
Location 2055 Willow StNashville, IN 47448-7013 · Phone (812) 988-6666

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)

Lifespan Advanced Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Lifespan Advanced Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (15)

Kathryn Brackman
Nurse Practitioner
NPI 1396451415
118 MEDICAL DR
Carmel, IN 46032
(317) 844-4211
✔ PECOS✔ Accepts MedicareSame address
Lateasa Tyler, NURSE PRACTITIONER
Nurse Practitioner
NPI 1366319469
118 MEDICAL DR
Carmel, IN 46032
(317) 844-4211
✔ PECOS✔ Accepts MedicareSame address
Tiara Herring, NP
Nurse Practitioner
NPI 1225613953
6101 N KEYSTONE AVE STE 100
Indianapolis, IN 46220
(219) 315-6581
✔ PECOS✔ Accepts Medicare6.5 mi
Matthew Hunt, NP
Nurse Practitioner
NPI 1295474088
11313 USA PKWY STE E148
Fishers, IN 46037
(314) 781-4500
✔ PECOS✔ Accepts Medicare6.5 mi
Stacy Tabor, NP
Nurse Practitioner
NPI 1093579203
1667 SHERIDAN RD
Noblesville, IN 46062
(317) 770-3400
✔ PECOS✔ Accepts Medicare8.0 mi
Noadiah Malott, NP
Nurse Practitioner
NPI 1962740365
10982 HOOSIER RD
Fishers, IN 46037
(317) 554-7983
✔ PECOS✔ Accepts Medicare8.5 mi
Anna Thompson, NP
Nurse Practitioner
NPI 1790261204
1701 N SENATE BLVD
Indianapolis, IN 46202
(317) 963-4929
✔ PECOS✔ Accepts Medicare12 mi
Jeromy Shoup, NP
Nurse Practitioner
NPI 1053960120
1500 N RITTER AVE
Indianapolis, IN 46219
(317) 355-1411
✔ PECOS12 mi
Leaann Spencer, FNP
Nurse Practitioner
NPI 1326770579
2485 DIRECTORS ROW STE D
Indianapolis, IN 46241
(317) 941-7338
✔ PECOS✔ Accepts Medicare17 mi
Kristy Crace, NP
Nurse Practitioner
NPI 1952183709
3525 E HANNA AVE
Indianapolis, IN 46237
(317) 788-4261
✔ PECOS✔ Accepts Medicare17 mi
Courtney Derbyshire, FNP
Nurse Practitioner
NPI 1942041892
3525 E HANNA AVE
Indianapolis, IN 46237
(317) 788-4261
✔ PECOS✔ Accepts Medicare17 mi
Julia Loubeau, NP
Nurse Practitioner
NPI 1578014809
3525 E HANNA AVE
Indianapolis, IN 46237
(317) 788-4261
✔ PECOS✔ Accepts Medicare17 mi
Tiffany Mathis
Nurse Practitioner
NPI 1508620717
3525 E HANNA AVE
Indianapolis, IN 46237
(317) 788-4261
✔ PECOS✔ Accepts Medicare17 mi
Sasha Yanez-Alonso
Nurse Practitioner
NPI 1073181244
3701 HODGKIN ROAD
Richmond, IN 47374
(765) 939-3701
✔ PECOS✔ Accepts Medicare66 mi
Angela Young
Nurse Practitioner
NPI 1730960428
1600 23RD ST # 100
Bedford, IN 47421
(812) 804-3400
✔ PECOS✔ Accepts Medicare79 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 Lifespan Advanced Care LLC's NPI number?

The NPI number for Lifespan Advanced Care LLC is 1558238345. It was assigned to this organization in the NPPES registry on October 17, 2025.

Where is Lifespan Advanced Care LLC located?

Lifespan Advanced Care LLC is located at 118 Medical Dr, Carmel, IN 46032. The listed phone number is (317) 781-4500.

What is Lifespan Advanced Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lifespan Advanced Care LLC enrolled in Medicare?

Yes. Lifespan Advanced Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifespan Advanced Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lifespan Advanced Care LLC. 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 at this address and 6 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 Lifespan Advanced Care LLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.