Active NPI
Florence Amanchukwu
- Primary Care Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 71016856A
- Practice address
- 3302 S East St
Indianapolis, IN 46227-1118 - Phone
- (317) 970-0647
- Fax
- (317) 661-3114
- NPI assigned
- Feb 3, 2025
- Last updated
- Oct 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71016856A | IN | |
| Gerontology Nurse Practitioner | 363LG0600X | 71016856A | IN | |
| Primary Care Nurse Practitioner | 363LP2300X | 71016856A | IN | Primary |
Addresses
Primary practice location
3302 S East St
Indianapolis, IN 46227-1118
Mailing address
3302 S East St
Indianapolis, IN 46227-1118
Phone (317) 970-0647
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3302 S E St
Indianapolis, IN 46227-1118
400 E Rivulon Blvd
S103
Gilbert, AZ 85297-0095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71016856A | IN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seniors Inc | Nurse Practitioner | Current | Accepting new patients |
| Primrose Wound Experts LLC | Nurse Practitioner | Current | Accepting new patients |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Altea Medical Indiana PC | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
410 W Lagrange Rd
Hanover, IN 47243
Phone (812) 503-5071
3302 S East St
Indianapolis, IN 46227
Phone (317) 970-0647
4215 W 86th St
Ste I
Indianapolis, IN 46268
Phone (317) 759-0162
3518 S Lafountain St
#3803
Kokomo, IN 46902
Phone (765) 453-4667
1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211
Organizations & group practices 5
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.
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1427914019
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dba LIfespan Health
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- Indianapolis, IN
- NPI 1043043433
Nurse Practitioner
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- Geriatric Medicine (Internal Medicine) Physician
- Gary, IN
- NPI 1992584783
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IN
-
- In Home Supportive Care Agency
- Indianapolis, IN
- NPI 1821601113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1487468401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 S EAST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271118",
"telephone_number": "317-970-0647",
"fax_number": "317-661-3114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 S EAST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271118",
"telephone_number": "317-970-0647",
"fax_number": "317-661-3114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMANCHUKWU",
"first_name": "FLORENCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-03",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71016856A",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IN",
"license": "71016856A",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IN",
"license": "71016856A",
"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 Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.