Individual provider Active NPI

Denford Mujeye, FNP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1326566142
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007557A Issued in IN
Practice address
7440 Woodland Dr
Indianapolis, IN 46278-1720
Phone
(269) 470-4008
NPI assigned
Aug 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28195632A IN
Family Nurse Practitioner 363LF0000X 71007557A IN Primary

Addresses

Primary practice location

7440 Woodland Dr
Indianapolis, IN 46278-1720

Mailing address

7440 Woodland Dr
Indianapolis, IN 46278-1720
Phone (574) 678-0333

Other practice location 1

20288 Ambleside Dr
South Bend, IN 46637-1380
Phone (269) 470-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20260515002178 DC Order and Referring Only - Nurse Practitioner 4688937352

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28195632AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aims, LLC CurrentSince Dec 1, 2020 Accepting new patients
Aims-Med, LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

9330 Broadway
Crown Point, IN 46307
Phone (219) 648-2400

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

425 Park Place Cir
Ste 150
Mishawaka, IN 46545
Phone (574) 243-7696

111 E 3rd St
Unit 764
Mishawaka, IN 46546

1625 E Jefferson Blvd
Mishawaka, IN 46545
Phone (219) 257-2295

Organizations & group practices 2

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1326566142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 WOODLAND DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781720",
            "telephone_number": "574-678-0333",
            "fax_number": "855-286-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 WOODLAND DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781720",
            "telephone_number": "269-470-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20288 Ambleside Dr",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466371380",
            "country_code": "US",
            "telephone_number": "269-470-4008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUJEYE",
        "first_name": "DENFORD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28195632A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007557A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.