Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PHASEFORWARD MEDICAL LLC
NPI 1518864073
Nurse Practitioner in Indianapolis, IN

Q: What is Phaseforward Medical LLC's NPI number?

The NPI number for Phaseforward Medical LLC is 1518864073. It was assigned to this organization in the NPPES registry on October 20, 2026.

Q: What is Phaseforward Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 20, 2026

8902 OTIS AVE STE 210B, INDIANAPOLIS, IN 46216(317) 377-4396(317) 647-4349 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Phaseforward Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHASEFORWARD MEDICAL LLC (NPI 1518864073) is a healthcare organization registered as a nurse practitioner in Indianapolis, Indiana and active in the NPI registry since October 2026. The organization lists Jessica Wild, Owner, as its authorized official.

NPPES Registry Identity

NPI1518864073

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePHASEFORWARD MEDICAL LLC

Location Address8902 OTIS AVE STE 210BIndianapolis, IN 46216-1077

Mailing Address8902 Otis Ave Ste 210bIndianapolis, IN 46216-1077 · (317) 377-4396 · Fax (317) 647-4349

Phone(317) 377-4396

Fax(317) 647-4349

Organization SubpartNo

Authorized OfficialJessica WildOwner · (317) 377-4396

Enumeration DateOctober 20, 2026

NPPES CertifiedOctober 20, 2026

✔ NPI 1518864073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

8902 OTIS AVE STE 210B, Indianapolis, IN 46216

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phaseforward Medical LLC's NPI number?

The NPI number for Phaseforward Medical LLC is 1518864073. It was assigned to this organization in the NPPES registry on October 20, 2026.

Where is Phaseforward Medical LLC located?

Phaseforward Medical LLC is located at 8902 Otis Ave Ste 210B, Indianapolis, IN 46216. The listed phone number is (317) 377-4396.

What is Phaseforward Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Phaseforward Medical LLC was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.