| Andrew Michael Ellenwood, FNP-C | |
|
11594 Whistle Dr, Fishers, IN 46037-0054 | |
| (317) 706-7246 | |
| (317) 706-3417 |
| Full Name | Andrew Michael Ellenwood |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 11594 Whistle Dr, Fishers, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689044117 | NPI | - | NPPES |
| 201330710 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71005903A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Informe Hc Specialists Llc | 5698184885 | 11 |
| Informe Healthcare In Llc | 9537407770 | 11 |
| Entity Name | Lifetime Skin Care Centers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902861016 PECOS PAC ID: 1254306574 Enrollment ID: O20040831000588 |
| Entity Name | Informe Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407343965 PECOS PAC ID: 8123375474 Enrollment ID: O20180723000258 |
| Entity Name | Informe Healthcare In Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992276638 PECOS PAC ID: 9537407770 Enrollment ID: O20190213000486 |
| Entity Name | Informe Hc Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255917647 PECOS PAC ID: 5698184885 Enrollment ID: O20210428002612 |
| Entity Name | Rpinmd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710643085 PECOS PAC ID: 4183014616 Enrollment ID: O20211124000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Michael Ellenwood, FNP-C 29943 Network Pl, Chicago, IL 60673-1299 Ph: (317) 706-3415 | Andrew Michael Ellenwood, FNP-C 11594 Whistle Dr, Fishers, IN 46037-0054 Ph: (317) 706-7246 |
Mrs. Amanda Rebecca Lucke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11501 Cumberland Rd Ste 500, Fishers, IN 46037 Phone: 317-863-9300 Fax: 317-863-9333 | |
Deborah L Schutz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8890 E 116th St, Suite 300, Fishers, IN 46038 Phone: 317-621-1500 Fax: 317-621-1509 | |
Courtney Joy Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9795 E 116th St, Fishers, IN 46037 Phone: 317-913-8100 | |
Nieasha Lanise Richardson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9894 E 121st St, Fishers, IN 46037 Phone: 317-621-2273 Fax: 317-806-1653 | |
Melissa Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10546 Greenway Dr, Fishers, IN 46037 Phone: 317-437-7453 | |
Rachael Lauren Hartley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8890 E 116th St Ste 130, Fishers, IN 46038 Phone: 317-621-7030 | |
Sarah Jayroe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8890 E 116th St Ste 130, Fishers, IN 46038 Phone: 317-621-7030 |