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

Jeremy Keith Nivens, NP

Individual provider Nurse Practitioner · NPI 1780896431

Jeremy Keith Nivens, NP is a Nurse Practitioner in Plainfield, Indiana. Qualified in 2014, 12 years ago. Practices with Optima Dermatology LLC, a 74-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

2155 E Main St
Plainfield, IN 46168-1816
Phone: (855) 297-9689
Fax: (603) 451-6001
Show map & directions

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

Additional practice locations (3)

  • 1010 W 2nd St, Bloomington, IN 47403-2217 — (812) 200-2458
  • 2800 S State Road 135 Ste 250, Greenwood, IN 46143-6223 — (317) 300-1788
  • 6639 Whitestown Pkwy, Zionsville, IN 46077-7622 — (317) 732-8980

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71005349A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28198910A (IN)

Record details

NPI number1780896431
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 4, 2007
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Optima Dermatology Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Plainfield