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

Jeanetta Carol Conway, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1760953533

Jeanetta Carol Conway, AGACNP-BC is a Nurse Practitioner in Fishers, Indiana. Qualified in 2019, 7 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2018
Specialties on file
2

Practice location Address checks out

9894 E 121st St
Fishers, IN 46037-4154
Phone: (317) 621-4800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8368 Helmsley Ct, Fishers, IN 46038-4430 — (317) 750-5150
  • 8904 Bash St Ste B, Indianapolis, IN 46256-1286 — (317) 735-6001

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 71008955A (IN)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 28124300A (IN)

Record details

NPI number1760953533
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedDecember 5, 2018
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fishers