Individual provider Active NPI

Nneka Odinweruka

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1073409322
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71016960A Issued in IN
Practice address
320 N Meridian St Ste 823
Indianapolis, IN 46204-1731
Phone
(463) 314-0234
NPI assigned
Jun 14, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71016960A IN Primary
Registered Nurse 163W00000X 28275713A IN

Addresses

Primary practice location

320 N Meridian St Ste 823
Indianapolis, IN 46204-1731

Mailing address

320 N Meridian St Ste 823
Indianapolis, IN 46204-1731
Phone (463) 314-0234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829002082 IN Practitioner - Nurse Practitioner 3476054552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promed Preferred in 2 PCGroup PAC ID 5496254443, 2 clinicians

Practice addresses (Care Compare)

5534 Saint Joe Rd
Fort Wayne, IN 46835-3328
Phone (845) 738-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28275713AINMDRegistered Nurse
71016960AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Preferred in 2, PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

5534 Saint Joe Rd
Fort Wayne, IN 46835
Phone (423) 502-1508

320 N Meridian St
Ste 823
Indianapolis, IN 46204
Phone (317) 647-6345

329 S Oyster Bay Rd
Plainview, NY 11803
Phone (714) 452-1961

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1073409322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N MERIDIAN ST STE 823",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041731",
            "telephone_number": "463-314-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MERIDIAN ST STE 823",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041731",
            "telephone_number": "463-314-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODINWERUKA",
        "first_name": "NNEKA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-14",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71016960A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28275713A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.