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Dylan Randolph Smith, APRN

Nurse Practitioner, Family in Indianapolis, IN. Individual provider (NPI-1).

NPI number1366094849
StatusActive
Last updated in NPPESSep 14, 2023

Details

NPI
1366094849
Entity type
Individual (NPI-1)
Name
Dylan Randolph Smith
Credential
APRN
Sex
Male
Sole proprietor
No
Enumeration date
Jul 15, 2019
Certification date
Sep 14, 2023
Last updated
Sep 14, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family71013246AINYes
363LF0000X Nurse Practitioner, Family3013498KY

Practice location

7825 McFarland Ln Ste A
Indianapolis, IN 46237-3630

Phone 317-888-5500 · Fax 317-887-4806

Mailing address

Po Box 781076
Detroit, MI 48278-1076

Phone 317-528-4800 · Fax 317-865-1479

Other practice locations

5575 Scottsville Rd
Bowling Green, KY 42104-6800

Phone 270-781-6477 · Fax 270-781-6479

6807 Louisville Rd
Bowling Green, KY 42101-8015

Phone 270-781-6477 · Fax 270-781-6479

5796 Nashville Rd
Bowling Green, KY 42101-7546

Phone 270-781-6477 · Fax 270-781-6479

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Indianapolis, IN

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