Envision Diagnostic Services
NPI 1457015752ActiveOrganization· Nurse Practitioner, Family· Indianapolis, IN
Nurse Practitioner, Family in Indianapolis, Indiana, registered in NPPES in October 2021. The authorized official on file is Chanel Jones, NP, Owner. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1457015752 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2021 |
| Last updated in NPPES | Oct 24, 2021 |
| Certified by provider | Oct 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (IN) |
|---|
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