Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Elly Jo Fennell, RN, CNP

Clinical Nurse Specialist in Indianapolis, IN · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114245958

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Registry record

Entity type Individual (Type 1)

Name Mrs. Elly Jo Fennell

Credential RN, CNP

Sex Female

Practice address 720 Eskenazi Ave, Indianapolis, IN, 46202

Phone (317) 880-7666

Enumeration date May 4, 2010

Last updated in NPPES Sep 16, 2025

Taxonomy & licenses

363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 209.008173 (IL) Secondary

364S00000X Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers · License 71009460A (IN) Primary

163W00000X Registered Nurse Nursing Service Providers · License 041-280081 (IL) Secondary

363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 370911138 (IL) Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 209.008173 (IL) Secondary

RN · Registered Nurse: A nurse who completed an accredited nursing program and passed the NCLEX-RN licensure exam. About the RN credential

Other identifiers

Identifier	Type	State	Issuer
209.008173	Other	IL	CNP LICENSE
041-280081	Other	IL	RN LICENSE
036102163	Medicaid	IL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Elly Fennell's NPI record?

Cross-check NPI 1114245958 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1114245958 active?

Yes, as of the latest NPPES snapshot, NPI 1114245958 is active (record last updated 2025-09-16).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-16.