Jessica Ann Ardi, FNP
Individual provider Active NPI Family Nurse Practitioner · Kokomo, IN
NPI 1740904358 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1740904358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71016132A (IN)
- Practice address
- 2004 W Sycamore St
Kokomo, IN 46901-4112 - Phone
- (765) 865-0135
- NPI assigned
- Sep 27, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urgentchoice Care LLC
Practice addresses (Care Compare)
2004 W Sycamore St
Kokomo, IN 46901-4112
Phone (574) 780-0102
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250109002372 | IN | Practitioner - Nurse Practitioner | 1951839513 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71016132A | IN | MD | Family Nurse Practitioner |
| F349214-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgentchoice Care LLC | Family | Current |
Accepting new patients |
Locations
1958 W Boulevard
Kokomo, IN 46902
Phone (317) 441-7981
2004 W Sycamore St
Kokomo, IN 46901
Phone (574) 780-0102
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28291709A | IN | |
| Family Nurse Practitioner | 363LF0000X | F349214-01 | NY | |
| Family Nurse Practitioner | 363LF0000X | 71016132A | IN | Yes |
Addresses
Primary practice location
2004 W Sycamore St
Kokomo, IN 46901-4112
Mailing address
2004 W Sycamore St
Kokomo, IN 46901-4112
Phone (347) 242-0536
Other names
- Miss Jessica Ann Nichols
Other providers in Kokomo, IN
- Stanley Thomas Antonelli III
- Skyler Breanne Apolo
- Alexandria Apostol
- Applegate Health Services, Inc.
- Savannah Arbuckle
- Brayan Arias
- Arnold Chiropractic P.C.
- Lori A Arnold
- Jordann Arthur
- Elizabeth Ascencio Medina
All providers in Kokomo, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.