Individual provider Active NPI

Jessica Nuanah

  • Family Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1720454481
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005602A Issued in IN
Practice address
13220 Briarwood Trce
Carmel, IN 46033-4654
Phone
(877) 658-2244
Fax
(858) 724-6662
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71005602A IN Primary

Addresses

Primary practice location

13220 Briarwood Trce
Carmel, IN 46033-4654

Mailing address

13280 Evening Creek Dr S Ste 225
San Diego, CA 92128-4664
Phone (877) 658-2244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NY, NH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160126000890 IN Practitioner - Nurse Practitioner 5496058497 Reassigns benefits to 1 organization
I20250424003622 NY Practitioner - Nurse Practitioner 5496058497
I20250428001919 NH Practitioner - Nurse Practitioner 5496058497

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mdwatch Medical CorpGroup PAC ID 3870992670, 9 clinicians

Practice addresses (Care Compare)

Carmel, IN 46033
Phone (877) 658-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71005602AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mdwatch Medical Corp. CurrentSince Feb 1, 2026 Accepting new patients
Mdwatch Ca, PC PastSince Aug 1, 2020 Accepting new patients

Locations

13280 Evening Creek Dr S
Ste 225
San Diego, CA 92128
Phone (858) 752-9735

Interoperability endpoints

  • Direct secure messaging: jessica.nuanah.1@28492.direct.athenahealth.com

Organizations & group practices 2

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1720454481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 EVENING CREEK DR S STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284664",
            "telephone_number": "877-658-2244",
            "fax_number": "858-724-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 BRIARWOOD TRCE",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460334654",
            "telephone_number": "877-658-2244",
            "fax_number": "858-724-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUANAH",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005602A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.