Individual provider Active NPI

Jessica Meneely, FNP

  • Family Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1992545313
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015336A Issued in IN
Practice address
476 Buckeye St
Terre Haute, IN 47804-4079
Phone
(812) 238-4708
Fax
(812) 238-4718
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 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 71015336A IN Primary

Addresses

Primary practice location

476 Buckeye St
Terre Haute, IN 47804-4079

Mailing address

476 Buckeye St
Terre Haute, IN 47804-4079
Phone (812) 238-4708

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
I20250106000192 IN Practitioner - Nurse Practitioner 7810425873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension Center of Wabash Valley LLCGroup PAC ID 5799911145, 9 clinicians

Practice addresses (Care Compare)

476 Buckeye St
Terre Haute, IN 47804-4079
Phone (812) 238-4708

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71015336AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Center of Wabash Valley, LLC CurrentSince Dec 30, 2024 Accepting new patients
Union Hospital Inc. Current Accepting new patients

Locations

476 Buckeye St
Terre Haute, IN 47804
Phone (812) 232-2683

1625 N 4th St
Terre Haute, IN 47804
Phone (812) 232-8716

Interoperability endpoints

  • Direct secure messaging: jmeneely@unionhealth.cernerdirect.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1992545313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 BUCKEYE ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044079",
            "telephone_number": "812-238-4708",
            "fax_number": "812-238-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 BUCKEYE ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044079",
            "telephone_number": "812-238-4708",
            "fax_number": "812-238-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENEELY",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015336A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.