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

Jennifer Vandivier

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1205506557

Jennifer Vandivier is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2021, 5 years ago. Practices with Mending Minds, LLC, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2021
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Practice location Address checks out

8401 Harcourt Rd
Indianapolis, IN 46260-2036
Phone: (317) 338-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 415 N 26th St Ste 102, Lafayette, IN 47904-2855 — (765) 446-6562

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71011539A (IN)

Record details

NPI number1205506557
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2021
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mending Minds, Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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