Individual provider Active NPI

Bianca Osakwe

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1649638388
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71014547A Issued in IN
Practice address
2620 Kessler Boulevard East Dr Ste 110
Indianapolis, IN 46220-2889
Phone
(800) 336-1100
Fax
(865) 409-5932
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71014547A IN Primary
Family Nurse Practitioner 363LF0000X AP130235 TX

Addresses

Primary practice location

2620 Kessler Boulevard East Dr Ste 110
Indianapolis, IN 46220-2889

Mailing address

2620 Kessler Boulevard East Dr Ste 110
Indianapolis, IN 46220-2889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160613000553 TX Practitioner - Nurse Practitioner 0749570299 Reassigns benefits to 1 organization
I20240112000903 IN Practitioner - Nurse Practitioner 0749570299 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family Current Accepting new patients
Cityblock Medical Practice, P.a. CurrentSince Dec 9, 2023 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Oct 6, 2020 Accepting new patients
Prime Care Behavioral Health and Wellness, LLC Family Current Accepting new patients
Camino Real Emergency Physicians PLLC Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients

Locations

2620 Kessler Boulevard East Dr
Ste 110
Indianapolis, IN 46220
Phone (551) 804-3029

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

Interoperability endpoints

  • Direct secure messaging: bianca.osakwe.1@27775.direct.athenahealth.com
  • Direct secure messaging: bosakwe355660@ahs.direct-ci.com

Organizations & group practices 6

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": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1649638388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 KESSLER BOULEVARD EAST DR STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202889",
            "fax_number": "865-409-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 KESSLER BOULEVARD EAST DR STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202889",
            "telephone_number": "800-336-1100",
            "fax_number": "865-409-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAKWE",
        "first_name": "BIANCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71014547A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.