Active NPI
Abimbola Ehimare
- Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71016850A
- Practice address
- 2001 W 86TH St
Indianapolis, IN 46260-1902 - Phone
- (832) 250-4016
- NPI assigned
- Apr 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71016850A | IN | Primary |
| Registered Nurse | 163W00000X | 28263367A | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71016850A | IN |
Addresses
Primary practice location
2001 W 86TH St
Indianapolis, IN 46260-1902
Mailing address
6720 Parkdale PL
Indianapolis, IN 46254-4668
Phone (317) 744-9200
Other practice location 1
3203 Dogwood Ln
Carmel, IN 46032-9629
Phone (317) 498-1171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300121063 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250903001043 | IN | Practitioner - Nurse Practitioner | 1254832918 | Reassigns benefits to 5 organizations |
| I20260106002084 | NM | Practitioner - Nurse Practitioner | 1254832918 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Psychiatry of Texas PLLC
Practice addresses (Care Compare)
8240 Naab Rd
Suite 360
Indianapolis, IN 46260-1987
Phone 8328694818235
9310 Coors Blvd NW
Albuquerque, NM 87114-4006
Phone 8328694818235
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28263367A | IN | MD | Registered Nurse |
| 71016850A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aims, LLC | Current | Accepting new patients | |
| Psychiatry of Texas PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Psychplus Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Odyssey Mental Health Care LLC | Nurse Practitioner | Current | Accepting new patients |
| Aims-Med, LLC | Past | Accepting new patients |
Locations
417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330
1167 Wilson Dr
Greenwood, IN 46143
Phone (317) 851-3101
6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400
8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338
111 E 3rd St
Unit 764
Mishawaka, IN 46546
9310 Coors Blvd NW
Albuquerque, NM 87114
Phone (505) 431-1900
7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109
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.
-
- Psychiatry Physician
- Houston, TX
- NPI 1013476027
IN, NM, Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Carmel, IN
- NPI 1104592617
IN, Nurse Practitioner
-
- Family Medicine Physician
- Houston, TX
- NPI 1558118026
IN, NM, Nurse Practitioner
-
- Internal Medicine Physician
- Bremen, IN
- NPI 1881211878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1881481844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6720 PARKDALE PL",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462544668",
"telephone_number": "317-744-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601902",
"telephone_number": "832-250-4016"
}
],
"practiceLocations": [
{
"address_1": "3203 Dogwood Ln",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460329629",
"country_code": "US",
"telephone_number": "317-498-1171",
"fax_number": "317-219-0879",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EHIMARE",
"first_name": "ABIMBOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-23",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71016850A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28263367A",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71016850A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300121063",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.