Individual provider Active NPI

Janna Weatherly-Brown, NP

  • Primary Care Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1558940692
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F03210441 Issued in IN
Practice address
11020 Pendleton Pike
Indianapolis, IN 46236-2817
Phone
(317) 826-3903
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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 71011645A IN
Primary Care Nurse Practitioner 363LP2300X F03210441 IN Primary

Addresses

Primary practice location

11020 Pendleton Pike
Indianapolis, IN 46236-2817

Mailing address

1201 E 5TH St
Anderson, IN 46012-3472
Phone (765) 274-5677

Other practice location 1

1201 E 5th St
Anderson, IN 46012-3472
Phone (765) 274-5677

Other practice location 2

101 N Harrison St
Alexandria, IN 46001-2017
Phone (765) 233-0903

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Anderson 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
I20211022001377 IN Practitioner - Nurse Practitioner 6709274848 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleanslate Medical Group of Indiana LLCGroup PAC ID 4880963909, 60 clinicians
Madison County AuditorGroup PAC ID 0244719995, 2 clinicians

Practice addresses (Care Compare)

1004 Pkwy Ave
Suite E
Elkhart, IN 46516-9349
Phone (574) 218-7131

16 E 9TH St
Anderson, IN 46016-1598
Phone (765) 646-9206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011645AINMDFamily Nurse Practitioner
F03210441INMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Oct 21, 2021 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 21, 2021 Accepting new patients
Madison County Auditor CurrentSince Jan 6, 2026 Accepting new patients
Cleanslate Medical Group of Indiana LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

101 N Harrison St
Alexandria, IN 46001
Phone (765) 233-0903

206 E 9th St
Anderson, IN 46016
Phone (765) 646-9206

4925 S Scatterfield Rd
#G
Anderson, IN 46013
Phone (765) 442-0402

16 E 9th St
Anderson, IN 46016
Phone (765) 646-9206

4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402

203 W 1st St
Bloomington, IN 47403
Phone (812) 339-1675

1004 Parkway Ave
Ste E
Elkhart, IN 46516
Phone (574) 218-7131

4411 Washington Ave
Ste 105
Evansville, IN 47714
Phone (812) 213-0304

3005 E State Blvd
Fort Wayne, IN 46805
Phone (260) 267-9498

833 Indianapolis Rd
Ste E
Greencastle, IN 46135
Phone (765) 301-3680

65 Airport Pkwy
Ste 114
Greenwood, IN 46143
Phone (317) 807-0268

11020 Pendleton Pike
Indianapolis, IN 46236
Phone (317) 806-1140

9660 E Washington St
#300
Indianapolis, IN 46229
Phone (317) 860-5600

1725 N Meridian St
Indianapolis, IN 46202
Phone (317) 396-1676

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

3728 S Reed Rd
Kokomo, IN 46902
Phone (765) 626-7110

30 Professional Ct
Ste 2
Lafayette, IN 47905
Phone (765) 838-1218

8601 Connecticut St
Merrillville, IN 46410
Phone (219) 525-3495

124 E Main St
Muncie, IN 47305
Phone (765) 587-7311

18051 River Rd
Ste 101
Noblesville, IN 46062
Phone (317) 674-0062

2455 E Main St
#194
Plainfield, IN 46168
Phone (317) 268-7198

2302 Chester Blvd
Ste A
Richmond, IN 47374
Phone (765) 488-0345

2936 Frontage Rd
Warsaw, IN 46580
Phone (574) 306-2145

Interoperability endpoints

  • Direct secure messaging: jweatherlybrown343087@ecommunitydirect.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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1558940692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E 5TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460123472",
            "telephone_number": "765-274-5677",
            "fax_number": "765-274-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 PENDLETON PIKE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462362817",
            "telephone_number": "317-826-3903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460123472",
            "country_code": "US",
            "telephone_number": "765-274-5677",
            "fax_number": "765-274-5607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 N Harrison St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "IN",
            "postal_code": "460012017",
            "country_code": "US",
            "telephone_number": "765-233-0903",
            "fax_number": "765-705-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERLY-BROWN",
        "first_name": "JANNA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011645A",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "F03210441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Anderson",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1201 E 5th St",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460123472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.