Individual provider Active NPI

Jocelyn Laycock

  • Registered Nurse
  • Logansport, IN
National Provider Identifier
1033785399
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28220551A Issued in IN
Practice address
1101 Michigan Ave
Logansport, IN 46947-1528
Phone
(574) 753-1475
NPI assigned
May 27, 2021
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F06210223 IN
Registered Nurse 163W00000X 28220551A IN Primary

Addresses

Primary practice location

1101 Michigan Ave
Logansport, IN 46947-1528

Mailing address

2663 W Old Stone Rd
Peru, IN 46970-8093
Phone (765) 469-2335

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210930000121 IN Practitioner - Nurse Practitioner 5395142509 Reassigns benefits to 1 organization

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
Memorial HospitalGroup PAC ID 8123923281, 64 clinicians
Parkview Logansport Hospital IncGroup PAC ID 8921500646, 41 clinicians

Practice addresses (Care Compare)

1101 Michigan Ave
Loganport, IN 46947-1528
Phone (574) 753-7541

1201 Michigan Ave
Logansport, IN 46947-1530

3400 E Market St
Logansport, IN 46947-2295
Phone (574) 722-9633

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28220551AINMDRegistered Nurse
F06210223INMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Logansport Hospital, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Parkview Logansport Hospital, Inc. CurrentSince Sep 1, 2021 Accepting new patients

Locations

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

3400 E Market St
Logansport, IN 46947
Phone (574) 722-9366

751 W 2nd St
Ste 100
Peru, IN 46970
Phone (765) 919-4378

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1033785399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2663 W OLD STONE RD",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469708093",
            "telephone_number": "765-469-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MICHIGAN AVE",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471528",
            "telephone_number": "574-753-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYCOCK",
        "first_name": "JOCELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "F06210223",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28220551A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.