Individual provider Active NPI

Jeffery Weglin Stewart

  • Home Health Registered Nurse
  • Osceola, IN
National Provider Identifier
1033962998
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
230153631 Issued in IN
Practice address
1415 Lincolnway W Ste J
Osceola, IN 46561-2061
Phone
(574) 204-2755
Fax
(574) 213-0825
NPI assigned
Apr 10, 2024
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 230153631 IN Primary

Addresses

Primary practice location

1415 Lincolnway W Ste J
Osceola, IN 46561-2061

Mailing address

1415 Lincolnway W Ste J
Osceola, IN 46561-2061
Phone (574) 204-2755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
230153631INMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jubilant Healthcare Agency CurrentSince May 26, 2024 Accepting new patients

Locations

1415 Lincolnway W
Ste J
Osceola, IN 46561
Phone (574) 204-2755

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1033962998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 LINCOLNWAY W STE J",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465612061",
            "telephone_number": "574-204-2755",
            "fax_number": "574-213-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 LINCOLNWAY W STE J",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465612061",
            "telephone_number": "574-204-2755",
            "fax_number": "574-213-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JEFFERY",
        "middle_name": "WEGLIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IN",
            "license": "230153631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.