Individual provider Active NPI

Jessica L Cielo, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Shelbyville, IN
National Provider Identifier
1902334659
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71007183A Issued in IN
Practice address
30 W Rampart St Ste 160
Shelbyville, IN 46176-8845
Phone
(317) 392-2971
Fax
(317) 398-1894
NPI assigned
May 25, 2017
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71007183A IN Primary
Registered Nurse 163W00000X 28216483A IN

Addresses

Primary practice location

30 W Rampart St Ste 160
Shelbyville, IN 46176-8845

Mailing address

30 W Rampart St Ste 160
Shelbyville, IN 46176-8845
Phone (317) 392-2971

Other names 1

  • Jessica L Bennett Former name

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
I20170809000841 IN Practitioner - Nurse Practitioner 1951672989 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
28216483AINMDRegistered Nurse
71007183AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Major Multispecialty Associates CurrentSince Aug 1, 2024 Accepting new patients
Major Multispecialty Associates CurrentSince Aug 1, 2024 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jul 11, 2019 Accepting new patients
Major Hospital PastSince Mar 17, 2018 Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

8820 S Meridian St
Ste 225
Indianapolis, IN 46217
Phone (317) 865-6700

2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914

30 W Rampart St
Ste 160
Shelbyville, IN 46176
Phone (317) 392-2161

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1902334659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W RAMPART ST STE 160",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768845",
            "telephone_number": "317-392-2971",
            "fax_number": "317-398-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W RAMPART ST STE 160",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768845",
            "telephone_number": "317-392-2971",
            "fax_number": "317-398-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIELO",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71007183A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28216483A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BENNETT",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.