JANE PAULEY COMMUNITY HEALTH CENTER INC
NPI 1730488818
Clinic/Center - Federally Qualified Health Center (FQHC) in Indianapolis, IN
About Jane Pauley Community Health Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANE PAULEY COMMUNITY HEALTH CENTER INC (NPI 1730488818) is a healthcare organization registered as a federally qualified health center (fqhc) in Indianapolis, Indiana and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Michael Dale, Chief Finance Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jane Pauley Community Health Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 3
Next revalidation due by January 31, 2027
This provider holds 3 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
153Medicare enrollment records show 153 clinicians reassign Medicare billing to Jane Pauley Community Health Center Inc, which bills Medicare for the services they deliver. Of these, 61 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 153Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 15D2027609
Jane Pauley Community Health Center · Indianapolis, INFrequently 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 Jane Pauley Community Health Center Inc's NPI number?
The NPI number for Jane Pauley Community Health Center Inc is 1730488818. It was assigned to this organization in the NPPES registry on March 15, 2011.
Where is Jane Pauley Community Health Center Inc located?
Jane Pauley Community Health Center Inc is located at 1503 N Mitthoeffer Rd Ste 150, Indianapolis, IN 46229. The listed phone number is (317) 934-0755.
What is Jane Pauley Community Health Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Jane Pauley Community Health Center Inc enrolled in Medicare?
Yes. Jane Pauley Community Health Center Inc is registered in the Medicare PECOS enrollment system.
When is Jane Pauley Community Health Center Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Jane Pauley Community Health Center Inc holds 3 Medicare enrollments with upcoming revalidation dates. The next is due by January 31, 2027 (Part A, Indiana, Federally Qualified Health Center (FQHC)). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jane Pauley Community Health Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 153 clinicians in 16 Medicare specialties reassign their Medicare billing to Jane Pauley Community Health Center Inc. 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. The largest specialties are Nurse Practitioner (49), Pediatric Medicine (24) and Clinical Social Worker (18). Of these, 61 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jane Pauley Community Health Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2027609) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Jane Pauley Community Health Center Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 5 other insurers list Jane Pauley Community Health Center Inc 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.
When was this NPI record last updated?
The NPPES record for Jane Pauley Community Health Center Inc was last updated on January 20, 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.
# Jane Pauley Community Health Center Inc · NPI 1730488818
Federally Qualified Health Center (FQHC) organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since March 15, 2011.
## Identity
- **NPI:** 1730488818 (Entity type: Organization)
- **Enumerated:** March 15, 2011
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Michael Dale, CHIEF FINANCE OFFICER
## Practice location
- **Address:** 1503 N MITTHOEFFER RD STE 150, Indianapolis, IN 46229-2425
- **Phone:** (317) 934-0755 · **Fax:** (317) 469-1662
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Part A, Indiana, Federally Qualified Health Center (FQHC)), next of 3 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 153 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (49), Pediatric Medicine (24), Clinical Social Worker (18); 61 practice within 10 miles; [full list](https://npiprofile.com/npi/1730488818/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2022
- **Other identifiers:** Medicaid 201026910 (IN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730488818) · Data from the CMS NPPES public registry.