Individual provider Active NPI

Elizabeth Ioannacci, APN

  • Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1235604133
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28160800A Issued in IN
Practice address
8820 Columbia 100 Pkwy Ste 430
Columbia, MD 21045-2175
Phone
(317) 432-0682
Fax
(844) 909-4688
NPI assigned
Oct 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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 28160800A IN Primary

Addresses

Primary practice location

8820 Columbia 100 Pkwy Ste 430
Columbia, MD 21045-2175

Mailing address

12017 Weathered Edge Dr
Fishers, IN 46037-3888
Phone (317) 432-0682

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
I20230809002244 IN Order and Referring Only - Nurse Practitioner 0941545537

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28160800AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC Nurse Practitioner PastSince Dec 18, 2018 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1538784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1235604133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12017 WEATHERED EDGE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460373888",
            "telephone_number": "317-432-0682",
            "fax_number": "844-909-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 COLUMBIA 100 PKWY STE 430",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452175",
            "telephone_number": "317-432-0682",
            "fax_number": "844-909-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOANNACCI",
        "first_name": "ELIZABETH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-06",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28160800A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.