Active NPI
Jasmine Christine Christopher, NP
- Women's Health Nurse Practitioner
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 71011946A
- Practice address
- 611 E Douglas Rd Ste 408
Mishawaka, IN 46545-1468 - Phone
- (574) 355-6440
- Fax
- (574) 335-0806
- NPI assigned
- Nov 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 71011946A | IN | Primary |
| Registered Nurse First Assistant | 163WR0006X | 28210350A | IN |
Addresses
Primary practice location
611 E Douglas Rd Ste 408
Mishawaka, IN 46545-1468
Mailing address
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-8707
Other practice location 1
611 E Douglas Rd Ste 402
Mishawaka, IN 46545-1468
Phone (574) 335-7750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300057322 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211201001641 | IN | Practitioner - Nurse Practitioner | 3971993239 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28210350A | IN | MD | Registered Nurse First Assistant |
| 71011946A | IN | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Uthman Cavallo, MD, LLC | Past | Accepting new patients |
Locations
611 E Douglas Rd
Ste 402
Mishawaka, IN 46545
Phone (574) 335-6700
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232
611 E Douglas Rd
Ste 408
Mishawaka, IN 46545
Phone (574) 335-6440
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
510 W Adams St
Ste 150
Plymouth, IN 46563
Phone (574) 335-3987
707 Cedar St
Ste 200
South Bend, IN 46617
Phone (574) 237-1328
616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100
Interoperability endpoints
- jchristopher1153393@direct.trinity-health.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
IN
-
- Family Medicine Physician
- Plymouth, IN
- NPI 1538585187
IN
-
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
IN
-
- Home Infusion Agency
- Mishawaka, IN
- NPI 1255369500
-
- Hospitalist Physician
- Plymouth, IN
- NPI 1821402876
-
- Critical Care Medicine (Internal Medicine) Physician
- Mishawaka, IN
- NPI 1699132365
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
-
- Obstetrics & Gynecology Physician
- South Bend, IN
- NPI 1093152589
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
Hospital
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
Hospital
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Joseph Regional Medical Center Inc
Practice addresses (Care Compare)
611 E Douglas Rd
408 OBGYN
Mishawaka, IN 46545-1468
Phone (574) 335-6440
Hospital & facility affiliations
- Saint Joseph Regional Medical Center
- Saint Joseph Regional Medical Center - Plymouth
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1013421049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5215 HOLY CROSS PKWY",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451469",
"telephone_number": "574-335-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E DOUGLAS RD STE 408",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451468",
"telephone_number": "574-355-6440",
"fax_number": "574-335-0806"
}
],
"practiceLocations": [
{
"address_1": "611 E Douglas Rd Ste 402",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465451468",
"country_code": "US",
"telephone_number": "574-335-7750",
"fax_number": "574-335-0754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISTOPHER",
"first_name": "JASMINE",
"middle_name": "CHRISTINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-29",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IN",
"license": "71011946A",
"primary": true
},
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "IN",
"license": "28210350A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300057322",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.