Andrew Michael Ellenwood, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71005903A Issued in IN

Practice address

11594 Whistle Dr
Fishers, IN 46037-0054

Phone

(317) 706-7246

Fax

(317) 706-3417

NPI assigned

Sep 27, 2015

Last updated

Nov 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shadeland Anesthesia and Pain Associates IncGroup PAC ID 2769468990, 41 clinicians

Informe Healthcare in LLCGroup PAC ID 9537407770, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

70.22 of 100Reported as group

Quality

0

Promoting interoperability

100

Improvement activities

40

Cost

67.39

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 28)

Interoperability endpoints

• Direct secure messaging: andrewellenwood@oi.allscriptsdirect.net

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.

• Shadeland Anesthesia & Pain Associates Inc.

  dba Center for Pain Management

  • Interventional Pain Medicine Physician
  • Indianapolis, IN
  • NPI 1477589000

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Informe Healthcare in, LLC

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1992276638

  IN

  Medicare reassignment Care Compare group NPD
• Informe HC Specialists, LLC

  • Internal Medicine Physician
  • Dyer, IN
  • NPI 1255917647
  Medicare reassignment NPD
• Lifetime Skin Care Centers, LLC

  dba Lifetime Skin Care Centers

  • Dermatology Physician
  • Muncie, IN
  • NPI 1902861016
  Medicare reassignment NPD
• Rpinmd LLC

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1710643085
  Medicare reassignment NPD
• Informe Healthcare LLC

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1407343965

  IN

  Medicare reassignment NPD
• Shadeland Anesthesia & Pain Associates Inc.

  dba Center for Pain Management

  • Durable Medical Equipment & Medical Supplies
  • Brownsburg, IN
  • NPI 1376429555
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1689044117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29943 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731299",
            "telephone_number": "317-706-3415",
            "fax_number": "317-706-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11594 WHISTLE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460370054",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENWOOD",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-27",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005903A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrewellenwood@oi.allscriptsdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Allscripts e-mail",
            "affiliationName": "Orthopaedics-Indianapolis, Inc.",
            "address_1": "8450 Northwest Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462781381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eldercare Therapy Specialists LLC
• Jennifer Elia, M.A.
• Theresa Ann Elias
• Elise Maller Counseling, LLC
• Elite Homecare Professionals LLC
• Erin Ellenwood, DT
• Dree Ellingworth, CCC-SLP
• Abigail Elliott
• James Elliott
• Paul Joseph Elmer, R.PH.

• Nurse Practitioner in Fishers, IN
• Providers in Fishers, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.

Verify at the official NPI Registry.