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

Jean Rene Mbassi, FNP

Individual provider Family Nurse Practitioner · NPI 1790140390

Jean Rene Mbassi, FNP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2015, 11 years ago. Practices with Select Rehabilitation, LLC, a 2,028-clinician group. Licensed in Indiana, New Mexico and Washington.

Years since qualifying
11
Licensed in
IN, NM, WA
In the registry since
2015
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1522 W Morris St
Indianapolis, IN 46221-1629
Phone: (317) 957-2500
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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 71007963A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence CNP-02800 (NM)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP-60600744 (WA)

Record details

NPI number1790140390
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 24, 2015
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

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 Select Rehabilitation, Llc — 2028 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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