Individual provider Active NPI

Justin Sweney

  • Family Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1790479194
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014035A Issued in IN
Practice address
13250 Hazel Dell Pkwy Ste 104
Carmel, IN 46033-8527
Phone
(317) 415-6900
NPI assigned
Jun 7, 2023
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 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 F05230867 IN
Family Nurse Practitioner 363LF0000X 71014035A IN Primary

Addresses

Primary practice location

13250 Hazel Dell Pkwy Ste 104
Carmel, IN 46033-8527

Mailing address

13250 Hazel Dell Pkwy Ste 104
Carmel, IN 46033-8527

Other practice location 1

429 E Vermont St Ste 110
Indianapolis, IN 46202-3685
Phone (812) 508-4855

Other practice location 2

9761 Crosspoint Blvd Ste 500
Indianapolis, IN 46256-3800
Phone (317) 516-5172

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
I20230718000260 IN Practitioner - Nurse Practitioner 2668832080 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71014035AINMDFamily Nurse Practitioner
F05230867INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Functional & Family Medicine LLC Family CurrentSince Aug 22, 2026 Accepting new patients
My Mobile MD LLC CurrentSince Jun 19, 2023 Accepting new patients
My Mobile MD Psychiatric Services LLC CurrentSince Sep 1, 2023 Accepting new patients
Total Care Family Practice Rick Bobay LLC Family PastSince Sep 9, 2026 Accepting new patients
HRT in PC PastSince Apr 6, 2025 Accepting new patients

Locations

429 E Vermont St
Ste 110
Indianapolis, IN 46202
Phone (317) 536-2290

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1790479194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13250 HAZEL DELL PKWY STE 104",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13250 HAZEL DELL PKWY STE 104",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338527",
            "telephone_number": "317-415-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 E Vermont St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462023685",
            "country_code": "US",
            "telephone_number": "812-508-4855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9761 Crosspoint Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462563800",
            "country_code": "US",
            "telephone_number": "317-516-5172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWENEY",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F05230867",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014035A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.