INDIGO ADLER, CNM, IBCLC, RN — NPI 1073342366 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers

CMS-1500 Box 24J / 33a • NPI

1073342366

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

367A00000X (CMS 42)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse

Box 32 Service Location & ZIP+4

15 IVES RD, HEWLETT, NY, 11557-2034

✓ 9-Digit EDI 837 ZIP+4 (11557-2034)

Practice Phone & Referral Fax

(646) 907-5515

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1073342366 (INDIGO ADLER, CNM, IBCLC, RN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1073342366` (NPI-1 Individual Practitioner)
Provider / Legal Name	INDIGO ADLER, CNM, IBCLC, RN
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse NUCC Code: `367A00000X` (Advanced Practice Midwife)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	15 IVES RD, HEWLETT, NY, 11557-2034
Practice Telephone / Fax	Tel: (646) 907-5515
Administrative Mailing Address	147 7TH AVE, BROOKLYN, NY, 11215-2636
Enumeration & Last Sync	Enumerated: 2024-07-26 \| CMS Record Updated: 2024-09-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

15 IVES RD, HEWLETT, NY, 11557-2034

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Plain-English Taxonomy & CMS Crosswalk (367A00000X)

What Does Taxonomy Code 367A00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 42 (Certified Nurse Midwife)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Advanced Practice Midwife for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (INDIGO ADLER, CNM, IBCLC, RN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WL0100X` — Registered Nurse, Lactation Consultant Plain English: Licensed & Credentialed Registered Nurse, Lactation Consultant	State: NY \| License: `L-308189` \| Primary: Secondary
`367A00000X` — Advanced Practice Midwife Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse	State: NY \| License: `002277` \| Primary: Yes (Primary)
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: NY \| License: `775687-01` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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INDIGO ADLER, CNM, IBCLC, RN (NPI #1073342366)