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

Andrew Michael Ellenwood, FNP-C

Individual provider Nurse Practitioner · NPI 1689044117

Andrew Michael Ellenwood, FNP-C is a Nurse Practitioner in Fishers, Indiana. Qualified in 2015, 11 years ago. Practices with Shadeland Anesthesia and Pain Associates Inc, a 39-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2015
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

11594 Whistle Dr
Fishers, IN 46037-0054
Phone: (317) 706-7246
Fax: (317) 706-3417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71005903A (IN)

Record details

NPI number1689044117
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2015
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Shadeland Anesthesia And Pain Associates Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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