Individual provider Active NPI

Florence Amanchukwu

  • Primary Care Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1487468401
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
71016856A Issued in IN
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250923002209 IN Practitioner - Nurse Practitioner 0547765463 Reassigns benefits to 4 organizations

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

LicenseStateTypeSpecialty
71016856AINMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seniors Inc Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Primrose Wound Experts LLC Nurse Practitioner CurrentSince Dec 25, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Nov 24, 2025 Accepting new patients
Altea Medical Indiana PC CurrentSince Nov 24, 2025 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.

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

Verify at the official NPI Registry.