JENNIFER HARDISTY (NP) – Nurse Practitioner, NPI 1962720490
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for JENNIFER HARDISTY (NP)
5550 S EAST ST STE C
INDIANAPOLIS, IN 462271991
Phone: (317) 534-4660
Fax: (317) 782-4301
Type: Location
2158 INTELLIPLEX DR
SUITE 106
SHELBYVILLE, IN 461768548
Phone: (317) 825-0846
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $1,119.
Total Amount is formed as General ($1,119) + Research ($0) + Ownership ($0) = $1,119.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($267).
Total Amount
$1,119
General + Research + Ownership
Payments
65
Total payment records
General Amount
$1,119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $267 |
| Novo Nordisk Inc | $170 |
| Novartis Pharmaceuticals Corporation | $68 |
| ABBVIE INC. | $64 |
| Axsome Therapeutics, Inc. | $62 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-07-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100706000441 | I | Nurse Practitioner | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46227)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Internal Medicine | IN | |
| Family Practice | IN | |
| - | IN | |
| Family Practice | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| Mental Health Counselor | IN | |
| Clinical Social Worker | IN |
Reviews
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