Individual provider Active NPI

Jennifer A Arnett, RNC

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1194714287
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001538A Issued in IN
Practice address
5150 Shelbyville Rd
Indianapolis, IN 46237
Phone
(317) 782-1577
Fax
(317) 780-5539
NPI assigned
Oct 20, 2005
Last updated
Sep 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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 71001538A IN Primary

Addresses

Primary practice location

5150 Shelbyville Rd
Indianapolis, IN 46237

Mailing address

5150 Shelbyville Rd
Indianapolis, IN 46237
Phone (317) 782-1577

Other identifiers 1

IdentifierTypeStateIssuer
200522370AMedicaidIN

Other names 1

  • Jennifer A Spencer Former name

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
I20230211000335 IN Order and Referring Only - Nurse Practitioner 7810926524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1194714287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 SHELBYVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46237",
            "telephone_number": "317-782-1577",
            "fax_number": "317-780-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 SHELBYVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46237",
            "telephone_number": "317-782-1577",
            "fax_number": "317-780-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNETT",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001538A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200522370A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SPENCER",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.