Individual provider Active NPI

Jessica Lynn Polley, MSN FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1891651915
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28270543A Issued in IN
Practice address
610 E Southport Rd Ste 205
Indianapolis, IN 46227-8592
Phone
(317) 781-7370
Fax
(317) 782-8880
NPI assigned
Jan 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 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 28270543A IN Primary

Addresses

Primary practice location

610 E Southport Rd Ste 205
Indianapolis, IN 46227-8592

Mailing address

PO Box 781076
Detroit, MI 48278-1008
Phone (317) 528-4800

Other practice location 1

7900 Shelby St
Indianapolis, IN 46227-5912
Phone (317) 781-7370

Other practice location 2

610 E Southport Rd
Indianapolis, IN 46227-8590
Phone (317) 781-7370

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
I20260317002356 IN Practitioner - Nurse Practitioner 3779066865 Reassigns benefits to 1 organization

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
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

610 E Southport Rd
Suite 205
Indianapolis, IN 46227-8593
Phone (317) 781-7370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
28270543AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Apr 19, 2026 Accepting new patients
Franciscan Physician Network CurrentSince Apr 19, 2026 Accepting new patients

Locations

7900 Shelby St
Indianapolis, IN 46227
Phone (317) 781-7370

610 E Southport Rd
Ste 205
Indianapolis, IN 46227
Phone (317) 781-7370

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1891651915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781008",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E SOUTHPORT RD STE 205",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462278592",
            "telephone_number": "317-781-7370",
            "fax_number": "317-782-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Shelby St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462275912",
            "country_code": "US",
            "telephone_number": "317-781-7370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 E Southport Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462278590",
            "country_code": "US",
            "telephone_number": "317-781-7370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLEY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "MSN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28270543A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.