| Ms Noelle C Lottes, RN FNP | |
| 938 Mezzanine Dr Ste B, Lafayette, IN 47905-8641 | |
| (765) 742-1533 | |
| (765) 742-1824 | 
| Full Name | Ms Noelle C Lottes | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 938 Mezzanine Dr Ste B, Lafayette, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1730113606 | NPI | - | NPPES | 
| 000000599459 | Other | IN | ANTHEM PROVIDER NUMBER | 
| 200852880 | Medicaid | IN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71001576A (Indiana) | Primary | 
| Entity Name | Matrix Lifecare Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1851017784 PECOS PAC ID: 9638531981 Enrollment ID: O20230817002821 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Noelle C Lottes, RN FNP 2105 Windflower Pl, West Lafayette, IN 47906-6616 Ph: (765) 441-2096 | Ms Noelle C Lottes, RN FNP 938 Mezzanine Dr Ste B, Lafayette, IN 47905-8641 Ph: (765) 742-1533 | 
| Abigail Ann Crum, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
| Kimbra Weesner,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Tippecanoe St, Lafayette, IN 47904 Phone: 765-423-6400 | |
| Mrs. Cecilia Ann Winkler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5500 State Road 38 E, Lafayette, IN 47905 Phone: 765-449-6790 Fax: 765-772-7113 | |
| Harmony Stine, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 355, Lafayette, IN 47905 Phone: 765-807-7988 Fax: 765-807-7989 | |
| Monica Michele Roadruck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3218 Daugherty Dr Ste 140, Lafayette, IN 47909 Phone: 765-502-4190 Fax: 765-502-4191 | |
| Julie J Debord, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
| Venice Michele Jarrett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8100 |