Individual provider Active NPI

Jenny Teppett, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1922721836
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
280143 Issued in AZ
Practice address
220 Virginia Ave
Indianapolis, IN 46204-3709
Phone
(800) 331-1476
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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 280143 AZ Primary

Addresses

Primary practice location

220 Virginia Ave
Indianapolis, IN 46204-3709

Mailing address

220 Virginia Ave
Indianapolis, IN 46204-3709
Phone (800) 331-1476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20221024002511 AZ Practitioner - Nurse Practitioner 6800262320 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280143AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Oct 1, 2023 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Oct 24, 2022 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Oct 24, 2022 Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

7091 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 402-6092

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: jenny.teppett.1@32527.direct.athenahealth.com
  • Direct secure messaging: jenny.teppett.p4@direct.caremorewest.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1922721836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 VIRGINIA AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043709",
            "telephone_number": "800-331-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 VIRGINIA AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043709",
            "telephone_number": "800-331-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPETT",
        "first_name": "JENNY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "280143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.