Odyssey Wellness Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ODYSSEY WELLNESS INC

Doing business as

Odyssey Wellness Group

Practice address

2550 S Flat Rock Rd
Bloomington, IN 47403-3285

Phone

(317) 349-7680

Fax

(833) 975-0724

NPI assigned

Jun 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Penticuff Jr.

Title

Director

Phone

(317) 349-7680

Specialties & licenses 1

Addresses

Other names 1

• Odyssey Wellness Group Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronit L Reuveny, CNM, FNP-C

  • Family Nurse Practitioner
  • Bloomington, IN
  • NPI 1356329940
  Medicare reassignment NPD
• John David Heflin, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1457555831
  Medicare reassignment NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1023851136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S FLAT ROCK RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033285",
            "telephone_number": "317-349-7680",
            "fax_number": "833-975-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S FLAT ROCK RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033285",
            "telephone_number": "317-349-7680",
            "fax_number": "833-975-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "PENTICUFF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-349-7680",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odyssey Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Odyssey Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Lynne Oakley, MS LMHC
• Debra Ochs
• Oconnellcaselcswllc
• Billie Suzanne Odom, MD
• Odyssey Enterprises LLC
• Allison Oeding
• Delfina Ogando Yomha
• Guinevere Diadem Ogburn, PHARMD
• Dustin Ogilvie
• Kenneth Wesley Oglesby, DPM

• Nurse Practitioner in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.