MOBILE MEDICAL PROVIDER INC
NPI 1659768356
Nurse Practitioner in Fishers, IN

Q: What is Mobile Medical Provider Inc's NPI number?

The NPI number for Mobile Medical Provider Inc is 1659768356. It was assigned to this organization in the NPPES registry on April 20, 2015.

Q: What is Mobile Medical Provider Inc's specialty?

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

Active since April 20, 2015

12045 BODLEY PLACE, FISHERS, IN 46037(317) 588-1039(317) 436-7002 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mobile Medical Provider Inc NPPES

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

MOBILE MEDICAL PROVIDER INC (NPI 1659768356) is a healthcare organization registered as a nurse practitioner in Fishers, Indiana and active in the NPI registry since April 2015. The organization lists Adeshola Abdulwahid Afolabi, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1659768356

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMOBILE MEDICAL PROVIDER INC

Location Address12045 BODLEY PLACEFishers, IN 46037-3714

Mailing Address12045 Bodley PlaceFishers, IN 46037-3714 · (317) 588-1039 · Fax (317) 436-7002

Phone(317) 588-1039

Fax(317) 436-7002

Organization SubpartNo

Authorized OfficialAdeshola Abdulwahid AfolabiPresident/ceo · (317) 588-1039

Enumeration DateApril 20, 2015

Last NPPES UpdateAugust 14, 2020

NPPES CertifiedAugust 14, 2020

✔ NPI 1659768356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.

Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X

Also ListedPsychiatry & Neurology · Hospice and Palliative MedicineTaxonomy 2084H0002X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 28204676A (IN)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

12045 BODLEY PLACE, Fishers, IN 46037

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Other Identifiers 3

Medicaid201176490IN

Other000000826011IN · Anthem

Other12544963IN · Caqh

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Mobile Medical Provider Inc's NPI number?

The NPI number for Mobile Medical Provider Inc is 1659768356. It was assigned to this organization in the NPPES registry on April 20, 2015.

Where is Mobile Medical Provider Inc located?

Mobile Medical Provider Inc is located at 12045 Bodley Place, Fishers, IN 46037. The listed phone number is (317) 588-1039.

What is Mobile Medical Provider Inc'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 Mobile Medical Provider Inc was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.