Individual provider Active NPI

Jerusha K. Seung, MSN-ED, APRN, FNP-C,

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1982863015
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28228929A Issued in IN
Practice address
9001 Wesleyan Rd Ste 100
Indianapolis, IN 46268-1176
Phone
(317) 497-5530
NPI assigned
Jun 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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 28228929A IN Primary

Addresses

Primary practice location

9001 Wesleyan Rd Ste 100
Indianapolis, IN 46268-1176

Mailing address

9465 Counselors Row Ste 200
Indianapolis, IN 46240-3817
Phone (317) 260-9333

Other practice location 1

2250 Hickory Rd
Plymouth Meeting, PA 19462-1047
Phone (610) 834-1122 ext. 711

Other practice location 2

8355 Rockville Rd Ste 120
Indianapolis, IN 46234-2722
Phone (317) 429-0061

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
I20200511002327 IN Practitioner - Nurse Practitioner 0547690430 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Jul 15, 2024 Accepting new patients
Michael S. Miller DO, Facos, CWS, PC CurrentSince Apr 8, 2020 Accepting new patients

Locations

155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437

3850 Shore Dr
Ste 315
Indianapolis, IN 46254
Phone (317) 429-0061

8355 Rockville Rd
Ste 120
Indianapolis, IN 46234
Phone (317) 213-5134

402 19th St
Tell City, IN 47586
Phone (812) 547-3427

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

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.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1982863015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9465 COUNSELORS ROW STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403817",
            "telephone_number": "317-260-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WESLEYAN RD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681176",
            "telephone_number": "317-497-5530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Hickory Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194621047",
            "country_code": "US",
            "telephone_number": "610-834-1122 x711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8355 Rockville Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462342722",
            "country_code": "US",
            "telephone_number": "317-429-0061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEUNG",
        "first_name": "JERUSHA",
        "middle_name": "K.",
        "credential": "MSN-ED, APRN, FNP-C,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28228929A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.