Individual provider Active NPI

Jenna M Toupin, NP

  • Family Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1902659063
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28222606A Issued in IN
Practice address
11900 N Penn St Ste 200
Carmel, IN 46032-4694
Phone
(317) 663-7123
Fax
(317) 587-0496
NPI assigned
Apr 9, 2024
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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 28222606A IN Primary

Addresses

Primary practice location

11900 N Penn St Ste 200
Carmel, IN 46032-4694

Mailing address

1162 English Ave
Indianapolis, IN 46203-1131
Phone (317) 967-0634

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
I20240805002244 IN Practitioner - Nurse Practitioner 6305383613

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1162 English Ave
Indianapolis, IN 46203-1131

54 Main St
Suite 10
Lakeville, MA 02347-1608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Wellness of Carmel, LLC CurrentSince May 30, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Longview Orthopaedic Center, LLC Past Accepting new patients

Locations

11900 Pennsylvania St
Carmel, IN 46032
Phone (317) 663-7123

11900 Pennsylvania St
Ste 200
Carmel, IN 46032
Phone (317) 663-7123

Organizations & group practices 3

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": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1902659063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 ENGLISH AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031131",
            "telephone_number": "317-967-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 N PENN ST STE 200",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324694",
            "telephone_number": "317-663-7123",
            "fax_number": "317-587-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUPIN",
        "first_name": "JENNA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28222606A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.