Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea I Mamaril, FNP-C

Individual provider Family Nurse Practitioner · NPI 1134879042

Andrea I Mamaril, FNP-C is a Nurse Practitioner in Noblesville, Indiana. Qualified in 2020, 6 years ago. Practices with Cleanslate Medical Group of Indiana LLC, a 61-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

18051 River Rd Ste 101
Noblesville, IN 46062-7093
Phone: (317) 674-0062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71012336A (IN)

Record details

NPI number1134879042
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESMarch 24, 2022
Certification dateFebruary 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cleanslate Medical Group Of Indiana Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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