Mrs. Elly Jo Fennell
RN, CNP | Nurse Practitioner - Adult Health | 17+ years Exp
720 Eskenazi Ave, Indianapolis
Indiana, 46202-5187
317-880-7666
Mrs. Elly Jo Fennell is a Indianapolis, Indiana based nurse practitioner with 17 years of experience as Adult Health NP. She completed her graduation in 2009. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Elly Jo Fennell is 71009460A for Nurse Practitioner in Indiana. Her current practice location is 720 Eskenazi Ave, Indianapolis. Patients can reach her at 317-880-7666. Mrs. Elly Jo Fennell is RN, CNP with specialization in Adult Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1114245958.
Mrs. Elly Jo Fennell can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Mrs. Elly Jo Fennell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Elly Jo Fennell |
| Specialization: | Nurse Practitioner - Adult Health (ANP) |
| Gender: | Female |
| Credentials: | RN, CNP |
| Experience: | 17+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2009 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 720 Eskenazi Ave, Indianapolis,
Indiana, 46202-5187 |
| Phone: | 317-880-7666 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6103013602 |
| Enrollment ID: | I20191113002644 |
| NPI Number: | 1114245958 |
| NPI Enumeration Date: | 04 May, 2010 |
| NPI Last Update On: | 16 Sep, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Elly Jo Fennell are as mentioned below.
| License Number | Specialization | State | Status | |
| 71009460A | Nurse Practitioner | Indiana | Primary | |
| 209.008173 | Adult Health NP | Illinois | Secondary | |
| 041-280081 | Registered Nurse | Illinois | Secondary | |
| 370911138 | Adult Health NP | Illinois | Secondary | |
| 209.008173 | Nurse Practitioner | Illinois | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (150024) | Indianapolis, IN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Elly Jo Fennell is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Eskenazi Medical Group Inc (4284546813) | 126 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Elly Jo Fennell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 209.008173 | Other | Illinois | CNP LICENSE |
| 041-280081 | Other | Illinois | RN LICENSE |
| 036102163 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Elly Jo Fennell
Po Box 637764,
Cincinnati, Ohio |
| Zip: | 45263-7764 |
| Phone Number: | 317-880-3939 |
Patients can reach Mrs. Elly Jo Fennell at
720 Eskenazi Ave, Indianapolis, Indiana or can
call to book an appointment on 317-880-7666.
Comments/ Reviews:
Patients can read all the reviews posted for Mrs. Elly Jo Fennell below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mrs. Elly Jo Fennell. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.