Individual provider Active NPI

Adaobi Jennifer Ideli, CRNP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1447910807
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R210992 Issued in MD
Practice address
501 Great Circle Rd FL 3
Nashville, TN 37228-1317
Phone
(615) 436-9060
Fax
(615) 235-9725
NPI assigned
Dec 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 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 R210992 MD Primary

Addresses

Primary practice location

501 Great Circle Rd FL 3
Nashville, TN 37228-1317

Mailing address

8935 Greens LN
Randallstown, MD 21133-4240
Phone (443) 898-2039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NC, DC, DE, VA, RI, ME, CT, PA, SC10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20230925000041 MD Practitioner - Nurse Practitioner 1557715695 Reassigns benefits to 1 organization
I20240927002129 NC Practitioner - Nurse Practitioner 1557715695 Reassigns benefits to 1 organization
I20241003001318 DC Practitioner - Nurse Practitioner 1557715695 Reassigns benefits to 2 organizations
I20241016002372 DE Practitioner - Nurse Practitioner 1557715695
I20241016004794 VA Practitioner - Nurse Practitioner 1557715695 Reassigns benefits to 1 organization
I20241031002340 RI Practitioner - Nurse Practitioner 1557715695
I20250114000267 ME Practitioner - Nurse Practitioner 1557715695 Reassigns benefits to 1 organization
I20250204003044 CT Practitioner - Nurse Practitioner 1557715695 Reassigns benefits to 1 organization
I20250328001335 PA Practitioner - Nurse Practitioner 1557715695 Reassigns benefits to 1 organization
I20251108000181 SC Practitioner - Nurse Practitioner 1557715695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4005 Hollyhead Cir S
Lakeland, FL 33811-2278

5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of North Carolina PC Family CurrentSince Sep 10, 2024 Accepting new patients
Monogram Health Professional Services of Washington DC PC Family CurrentSince Jul 28, 2025 Accepting new patients
Monogram Health Professional Services of New Mexico LLC Family CurrentSince Jan 1, 2025 Accepting new patients

Locations

1200 G St NW
Ste 800
Washington, DC 20005
Phone (202) 630-2519

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

5410 Maryland Way
Ste 400
Brentwood, TN 37027

Interoperability endpoints

  • Direct secure messaging: adaobi.ideli.1@22854.direct.athenahealth.com

Organizations & group practices 4

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": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1447910807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8935 GREENS LN",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334240",
            "telephone_number": "443-898-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD FL 3",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281317",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDELI",
        "first_name": "ADAOBI",
        "middle_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R210992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.