Individual provider Active NPI

Amy Nelson, FNP-C

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1114795192
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71015000A Issued in IN
Practice address
9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365
Phone
(317) 574-4747
NPI assigned
Dec 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71015000A IN Primary

Addresses

Primary practice location

9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365

Mailing address

2350 S Dixon Rd Ste 430
Kokomo, IN 46902-6428
Phone (765) 453-1205

Other practice location 1

2350 S Dixon Rd Ste 430
Kokomo, IN 46902-6428
Phone (765) 453-1205

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
I20240328000210 IN Practitioner - Nurse Practitioner 1557708369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Nephrology and Internal Medicine PCGroup PAC ID 2769389550, 35 clinicians

Practice addresses (Care Compare)

9011 N Meridian St
Suite 225
Indianapolis, IN 46260-5365
Phone (317) 574-4747

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71015000AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Nephrology and Internal Medicine, P.C. CurrentSince Feb 12, 2024 Accepting new patients

Locations

3253 Shawnee Dr S
Bedford, IN 47421
Phone (317) 574-4747

3253 Shawnee Dr S
Ste C
Bedford, IN 47421
Phone (812) 275-1084

575 S Patterson Dr
Bloomington, IN 47403
Phone (217) 779-0034

1805 S Anderson St
Elwood, IN 46036
Phone (317) 574-4747

9240 N Meridian St
Ste 140
Indianapolis, IN 46260
Phone (317) 343-2056

8330 Naab Rd
Ste 234
Indianapolis, IN 46260
Phone (317) 875-0084

9011 N Meridian St
Ste 225
Indianapolis, IN 46260
Phone (317) 574-4747

2350 S Dixon Rd
Ste 430
Kokomo, IN 46902
Phone (765) 319-3681

2350 S Dixon Rd
Kokomo, IN 46902
Phone (765) 453-0052

2485 N Lebanon St
Lebanon, IN 46052
Phone (765) 482-4098

165 Sheridan Rd
Noblesville, IN 46060
Phone (317) 770-8900

Interoperability endpoints

  • Direct secure messaging: anelson63631@direct.acumenmd.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1114795192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 S DIXON RD STE 430",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026428",
            "telephone_number": "765-453-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 N MERIDIAN ST STE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605365",
            "telephone_number": "317-574-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 S Dixon Rd Ste 430",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469026428",
            "country_code": "US",
            "telephone_number": "765-453-1205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71015000A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.