MADISON PRYOR MSW, LCSW, LCAC
NPI 1912418625
Social Worker - Clinical in Indianapolis, IN
About Madison Pryor Msw, Lcsw, Lcac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON PRYOR MSW, LCSW, LCAC (NPI 1912418625) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (34010109A) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Madison Pryor Msw, Lcsw, Lcac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Madison Pryor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46256
- Reassigned Medicare billing, Indiana enrollment
- 2,087 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Indiana enrollment
- 417 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46216
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 Madison Pryor's NPI number?
The NPI number for Madison Pryor is 1912418625. It was assigned to this individual provider in the NPPES registry on October 20, 2017.
Where is Madison Pryor located?
Madison Pryor practices at 8205 E 56th St Ste 100, Indianapolis, IN 46216. The listed phone number is (317) 355-7622.
What is Madison Pryor's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Madison Pryor enrolled in Medicare?
Yes. Madison Pryor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Madison Pryor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madison Pryor reassigns Medicare benefits to 2 organizations: Community Physicians Of Indiana Inc (Indianapolis, IN) and Grow Healthcare Group PA (Miami, FL). Each 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 Madison Pryor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madison Pryor accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Madison Pryor 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 Madison Pryor was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Madison Pryor, MSW, LCSW, LCAC · NPI 1912418625
Clinical provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since October 20, 2017.
## Identity
- **NPI:** 1912418625 (Entity type: Individual)
- **Enumerated:** October 20, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 34010109A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 8205 E 56TH ST STE 100, Indianapolis, IN 46216-1069
- **Phone:** (317) 355-7622
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Physicians Of Indiana Inc (NPI 1619105244, Indianapolis, IN); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 17, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1912418625) · Data from the CMS NPPES public registry.