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

Mrs. Elly Jo Fennell, RN, CNP

Individual provider Adult Health Nurse Practitioner · NPI 1114245958

Mrs. Elly Jo Fennell, RN, CNP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2009, 17 years ago. Practices with Eskenazi Medical Group Inc, a 138-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
17
Licensed in
IL, IN
In the registry since
2010
Specialties on file
5
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone: (317) 880-7666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Nurse Specialist (primary) Taxonomy 364S00000X · Licence 71009460A (IN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 209.008173 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041-280081 (IL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 370911138 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209.008173 (IL)

Record details

NPI number1114245958
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CNP
Sole proprietorNo
NPI enumeratedMay 4, 2010
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Eskenazi Medical Group Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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