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

Jentry E O'Daniel, PA

Individual provider Physician Assistant · NPI 1720463532

Jentry E O'Daniel, PA is a Physician Assistant in Fishers, Indiana. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Kentucky.

Licensed in
IN, KY
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13121 Olio Rd Ste 300
Fishers, IN 46037-7240
Phone: (317) 621-1310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8177 Clearvista Pkwy Ste 100, Indianapolis, IN 46256-1662 — (317) 621-7800
  • 1305 N Elm St, Henderson, KY 42420-2783 — (270) 827-7200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10002254A (IN)
Physician Assistant Taxonomy 363A00000X · Licence TC391 (KY)

Record details

NPI number1720463532
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 22, 2015
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address6626 E 75th St Ste 500, Indianapolis, IN 46250-2890

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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