Individual provider Active NPI

Annette L Dewitt, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1255580635
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002555A Issued in IN
Practice address
9333 N Meridian St
Suite 202
Indianapolis, IN 46260-1872
Phone
(317) 580-9333
Fax
(317) 818-8933
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 71002555A IN Primary

Addresses

Primary practice location

9333 N Meridian St
Suite 202
Indianapolis, IN 46260-1872

Mailing address

9333 N Meridian St
Suite 202
Indianapolis, IN 46260-1872
Phone (317) 580-9333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adewitt109699@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jun 27, 2017 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 27, 2017 Accepting new patients
Integrative Health Specialist of Indiana PC PastSince Jan 1, 2005 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1424 S Rangeline Rd
Carmel, IN 46032
Phone (317) 571-1176

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

Interoperability endpoints

  • Direct secure messaging: adewitt109699@ecommunitydirect.com

Organizations & group practices 3

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1255580635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 N MERIDIAN ST",
            "address_2": "SUITE 202",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601872",
            "telephone_number": "317-580-9333",
            "fax_number": "317-818-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 N MERIDIAN ST",
            "address_2": "SUITE 202",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601872",
            "telephone_number": "317-580-9333",
            "fax_number": "317-818-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "ANNETTE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002555A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adewitt109699@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "9333 N Meridian St",
            "address_2": "Suite 202",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462601872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.