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

Walter Andrew Jay Mandery, NP

Individual provider Registered Nurse · NPI 1457986259

Walter Andrew Jay Mandery, NP is a Nurse Practitioner in Carmel, Indiana. Qualified in 2019, 7 years ago. Practices with Indianapolis Neurosurgical Group PC, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2020
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

13345 Illinois St
Carmel, IN 46032-3318
Phone: (317) 396-1300
Fax: (317) 396-1346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2001 W 86th St, Indianapolis, IN 46260-1902 — (317) 338-2345

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 71009973A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28199259A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71009973A (IN)

Record details

NPI number1457986259
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 12, 2020
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 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 Indianapolis Neurosurgical Group Pc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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