Active NPI
Jenna Masters
- Family Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3605214
- Practice address
- 9805 Geist Crossing Dr
Indianapolis, IN 46256-4819 - Phone
- (317) 577-1353
- NPI assigned
- Sep 2, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3605214 | IN | Primary |
Addresses
Primary practice location
9805 Geist Crossing Dr
Indianapolis, IN 46256-4819
Mailing address
20136 Stone Church Rd
Laurel, IN 47024-9772
Phone (765) 265-9387
Other practice location 1
20136 Stone Church Rd
Laurel, IN 47024-9772
Phone (765) 265-9387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Indiana University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Potters LN
Clarksville, IN 47129-1017
Phone (443) 383-9300
2100 Millvale Rd
Louisville, KY 40205-1604
Phone (443) 383-9300
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3605214 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Woundology Mso LLC | Current | Accepting new patients | |
| Consonant Healing Associates of de LLC | Current | Accepting new patients |
Locations
101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808
150 Beechmont Dr NE
Corydon, IN 47112
Phone (812) 738-0550
2640 Cold Spring Rd
#A
Indianapolis, IN 46222
Phone (315) 909-1540
615 Ferry St
Fl 1
Lafayette, IN 47901
Phone (800) 991-7630
105 Water St
Plymouth, IN 46563
Phone (574) 540-2052
828 Lane Allen Rd
Ste 219
Lexington, KY 40504
2100 Cherokee Ridge Way
Louisville, KY 40205
Phone (502) 451-0990
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1568278208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1962170050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20136 STONE CHURCH RD",
"city": "LAUREL",
"state": "IN",
"postal_code": "470249772",
"telephone_number": "765-265-9387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9805 GEIST CROSSING DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564819",
"telephone_number": "317-577-1353"
}
],
"practiceLocations": [
{
"address_1": "20136 Stone Church Rd",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "IN",
"postal_code": "470249772",
"country_code": "US",
"telephone_number": "765-265-9387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASTERS",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "3605214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- Kristen Master, FNP-C
- Master'S Touch Counseling Services. LLC
- Mastering Adaption & Developement Corp
- Masters Family Dentistry of Southport (Masters Family Dentistry)
- Brian Joseph Masters
- Katie Rebecca Masters, DMD
- Reid Masterson, MD
- Timothy A Masterson, MD
- Erica R Mastoroudis, MD
- Ronald Mastouri, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.