ABIGAIL BASTNAGEL
NPI 1700509734
Psychologist - Clinical in Indianapolis, IN

Q: What is Abigail Bastnagel's NPI number?

The NPI number for Abigail Bastnagel is 1700509734. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Q: What is Abigail Bastnagel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Abigail Bastnagel enrolled in Medicare?

No. Abigail Bastnagel has opted out of Medicare through May 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Abigail Bastnagel was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since September 23, 2022Opted out of Medicare · through May 27, 2028

50 E 91ST ST STE 316, INDIANAPOLIS, IN 46240(317) 550-3221 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 1, 2024, Sep 23, 2022 (2 updates tracked since 2022).

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About Abigail Bastnagel NPPES

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

ABIGAIL BASTNAGEL (NPI 1700509734) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (20043590B) and active in the NPI registry since September 2022. She has opted out of Medicare through May 27, 2028.

NPPES Registry Identity

NPI1700509734

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameABIGAIL BASTNAGEL

Location Address50 E 91ST ST STE 316Indianapolis, IN 46240-1556

Mailing Address50 E 91st St Ste 316Indianapolis, IN 46240-1556 · (317) 550-3221

Phone(317) 550-3221

Sole ProprietorYes

Enumeration DateSeptember 23, 2022

Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration

NPPES CertifiedOctober 1, 2024

✔ NPI 1700509734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IN · 20043590B

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

50 E 91ST ST STE 316, Indianapolis, IN 46240

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Abigail Bastnagel has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 27, 2026 through May 27, 2028.

Opt-Out Effective DateMay 27, 2026

Opt-Out In Effect ThroughMay 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

DR. LORNA SOFIA MARTINEZ-GUZMAN PSYD, HSPP

Psychologist (Clinical)