Organization Active NPI

Nustar Wound Care Services LLC

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1477448694
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NUSTAR WOUND CARE SERVICES LLC
Practice address
6620 Parkdale PL Ste I
Indianapolis, IN 46254-4697
Phone
(317) 452-5537
NPI assigned
Jun 9, 2025
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Brandi GarnerNPI 1255853198
Title
President
Phone
(317) 452-5537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

6620 Parkdale PL Ste I
Indianapolis, IN 46254-4697

Mailing address

6620 Parkdale PL Ste I
Indianapolis, IN 46254-4697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN, IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250722000293 FL Part B Supplier - Clinic/Group Practice 8527574060 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL
O20250813001274 IN Part B Supplier - Clinic/Group Practice 8527574060 Receives reassigned benefits from 2 practitioners
Practice locations: Indianapolis, IN
O20250820003845 IL Part B Supplier - Clinic/Group Practice 8527574060 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, IL

National Provider Directory

National Provider Directory

Locations

2125 Biscayne Blvd
Ste 269
Miami, FL 33137
Phone (317) 452-5537

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1477448694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 PARKDALE PL STE I",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 PARKDALE PL STE I",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544697",
            "telephone_number": "317-452-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUSTAR WOUND CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-452-5537"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.