Individual provider Active NPI

Jennifer Piercy

  • Gerontology Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1366155269
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71013439A Issued in IN
Practice address
2485 Directors Row Ste D
Indianapolis, IN 46241-4907
Phone
(317) 941-7338
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 71013439A IN Primary

Addresses

Primary practice location

2485 Directors Row Ste D
Indianapolis, IN 46241-4907

Mailing address

2485 Directors Row Ste D
Indianapolis, IN 46241-4907
Phone (317) 941-7338

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
I20230107000131 IN Practitioner - Nurse Practitioner 1355711391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

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

State licenses

LicenseStateTypeSpecialty
71013439AINMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Clinical Partners Gerontology CurrentSince Jan 5, 2023 Accepting new patients
Proactive Clinical Partners - Aco CurrentSince Jun 24, 2023 Accepting new patients
Provider Partners Care Management LP CurrentSince Jul 1, 2025 Accepting new patients

Locations

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

950 N Lakeview Dr
Greensburg, IN 47240
Phone (812) 662-7778

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

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1366155269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 DIRECTORS ROW STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462414907",
            "telephone_number": "317-941-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 DIRECTORS ROW STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462414907",
            "telephone_number": "317-941-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCY",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71013439A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.