Individual provider Active NPI

Janna Kasting Nickoll, NP

  • Family Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1376070847
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007158A Issued in IN
Practice address
326 S Woodscrest Dr
Bloomington, IN 47401-5314
Phone
(812) 650-9550
NPI assigned
May 16, 2017
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71007158A IN Primary
Critical Care Medicine Registered Nurse 163WC0200X 28135072A IN

Addresses

Primary practice location

326 S Woodscrest Dr
Bloomington, IN 47401-5314

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

8003 Castleway Dr
Indianapolis, IN 46250-1946
Phone (317) 576-1335 ext. 4129

Other names 1

  • Mrs. Janna Lynn Conrad Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnickoll@direct.iuhealth.org Direct

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
I20170803003315 IN Practitioner - Nurse Practitioner 7416228762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

4001 W Goeller Blvd
Suite a
Columbus, IN 47201-8309
Phone (812) 375-3330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28135072AINMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Physicians, LLC CurrentSince Jul 1, 2017 Accepting new patients
Indiana Health Centers, Inc. CurrentSince Jul 8, 2025 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Jul 1, 2017 Accepting new patients
Indiana Health Centers Inc CurrentSince Jul 8, 2025 Accepting new patients
Major Hospital Past Accepting new patients
Indiana Health Centers, Inc. Family Past Accepting new patients
Columbus Regional Health Physicians, LLC Past Accepting new patients

Locations

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

3015 10th St
Columbus, IN 47201
Phone (812) 372-8426

3203 Middle Rd
Columbus, IN 47203
Phone (812) 373-2700

4001 W Goeller Blvd
Ste A
Columbus, IN 47201
Phone (812) 342-2100

8003 Castleway Dr
Indianapolis, IN 46250
Phone (317) 576-1335

765 S Michigan St
South Bend, IN 46601
Phone (574) 235-7990

Interoperability endpoints

  • Direct secure messaging: jnickoll8113@edirect.crh.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1376070847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S WOODSCREST DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015314",
            "telephone_number": "812-650-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8003 Castleway Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462501946",
            "country_code": "US",
            "telephone_number": "317-576-1335 x4129",
            "fax_number": "317-343-6562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKOLL",
        "first_name": "JANNA",
        "middle_name": "KASTING",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007158A",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IN",
            "license": "28135072A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnickoll@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "326 S Woodscrest Dr",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474015314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANNA",
            "last_name": "CONRAD",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.