Individual provider Active NPI

Jessica Ridge, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1245854801
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28177768A Issued in IN
Practice address
8805 N Meridian St
Indianapolis, IN 46260-2760
Phone
(317) 706-7246
Fax
(317) 706-3417
NPI assigned
May 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28177768A IN Primary

Addresses

Primary practice location

8805 N Meridian St
Indianapolis, IN 46260-2760

Mailing address

29943 Network PL
Chicago, IL 60673-1299

Other practice location 1

10241 E County Road 100 N
Indianapolis, IN 46234-9016
Phone (317) 561-6840

Other identifiers 1

IdentifierTypeStateIssuer
300038707MedicaidIN

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
I20200605000456 IN Practitioner - Nurse Practitioner 0143641860 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3738 Landmark Dr
Suite a
Lafayette, IN 47905-6655
Phone 3177067246309

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.42 of 100Reported as apm
Quality
55.23
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shadeland Anesthesia & Pain Associates Inc. Family CurrentSince Oct 31, 2024 Accepting new patients
Shadeland Anesthesia & Pain Associates Inc. CurrentSince Oct 31, 2024 Accepting new patients
Proactive Clinical Partners CurrentSince Jul 1, 2021 Accepting new patients
Proactive Clinical Partners - Aco CurrentSince Jun 24, 2023 Accepting new patients
Major Hospital Past Accepting new patients

Locations

29943 Network Pl
Chicago, IL 60673

97 Dover St
Ste 100
Avon, IN 46123

1108 Kingwood Dr
Avon, IN 46123
Phone (317) 204-1100

11595 N Meridian St
Ste 402
Carmel, IN 46032

11594 Whistle Dr
Fishers, IN 46037

555 E County Line Rd
Ste 102
Greenwood, IN 46143

533 E County Line Rd
Ste 201A
Greenwood, IN 46143
Phone 3177067246309

1 American Sq
Ste 165
Indianapolis, IN 46282
Phone (317) 955-3988

9002 N Meridian St
Ste 209
Indianapolis, IN 46260
Phone (317) 750-3452

2485 Directors Row
Ste D
Indianapolis, IN 46241
Phone (317) 941-7331

8805 N Meridian St
Indianapolis, IN 46260
Phone 3177067246109

690 2nd St
Ste C
Jasper, IN 47546

3559 Newton St
Jasper, IN 47546
Phone (812) 437-7246

2302 S Dixon Rd
Ste 150
Kokomo, IN 46902
Phone (317) 453-1205

3750 Landmark Dr
Lafayette, IN 47905
Phone (765) 807-2780

3738 Landmark Dr
Ste A
Lafayette, IN 47905
Phone (765) 807-2780

107 N 2nd St
Rockport, IN 47635
Phone (812) 437-7246

Organizations & group practices 5

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 1

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1245854801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29943 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602760",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10241 E County Road 100 N",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462349016",
            "country_code": "US",
            "telephone_number": "317-561-6840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDGE",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28177768A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300038707",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.