Active NPI
James Michael Nussbaum, NP
- Registered Nurse
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28268952A
- Practice address
- 720 Eskenazi Ave
Indianapolis, IN 46202-5187 - Phone
- (317) 880-0000
- NPI assigned
- Apr 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 71016620A | IN | |
| Registered Nurse | 163W00000X | 28268952A | IN | Primary |
Addresses
Primary practice location
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Mailing address
2301 N Pennsylvania St
Indianapolis, IN 46205-4343
Phone (903) 424-9744
Other practice location 1
1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 217-3000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 N Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 944-7744
Hospital & facility affiliations
- Indiana University Health
- Iu Health West Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28268952A | IN | MD | Registered Nurse |
| 71016620A | IN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients |
Locations
1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1134913601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 N PENNSYLVANIA ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462054343",
"telephone_number": "903-424-9744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 ESKENAZI AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025187",
"telephone_number": "317-880-0000"
}
],
"practiceLocations": [
{
"address_1": "1111 Ronald Reagan Pkwy",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "IN",
"postal_code": "461237085",
"country_code": "US",
"telephone_number": "317-217-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUSSBAUM",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-08",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "71016620A",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28268952A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.