MEDICARE: ESSENTIAL ROUNDING PROVIDERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1124987987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENTIAL ROUNDING PROVIDERS

Provider Business Mailing Address
First Line	:	7825 BANCASTER CIR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-5702
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7825 BANCASTER CIR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-5702
Country	:	US
Telephone Number	:	317-737-6001
Fax Number	:

Authorized Official
Title or Position	:	NP
Name	:	CANDYCE NICOLE JOHNSON
Credential	:	NP
Telephone Number	:	317-737-6001

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ESSENTIAL ROUNDING PROVIDERS ” Practice Location

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