Individual provider Active NPI

Jessica Ann Markiewicz, PA- C

  • Medical Physician Assistant
  • Carmel, IN
National Provider Identifier
1053436378
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10000715A Issued in IN
Practice address
13500 N Meridian St
Carmel, IN 46032-1456
Phone
(317) 582-7000
NPI assigned
Mar 20, 2007
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10000715A IN Primary
Cardiovascular Disease Physician 207RC0000X 10000715A IN
Interventional Cardiology Physician 207RI0011X 10000715A IN
Physician Assistant 363A00000X 10000715A IN

Addresses

Primary practice location

13500 N Meridian St
Carmel, IN 46032-1456

Mailing address

13500 N Meridian St
Carmel, IN 46032-1456

Other practice location 1

3611 South Reed Road
Suite 213
Kokomo, IN 46902
Phone (765) 864-6767

Other practice location 2

5165 McCarty Ln
Lafayette, IN 47905-8764
Phone (765) 448-8000

Other identifiers 1

IdentifierTypeStateIssuer
000000559016OtherINANTHEM

Other names 1

  • Jessica A Abo Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmarkiewicz@direct.iuhealth.org Direct

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
I20041215000472 IN Practitioner - Physician Assistant 3971560558 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

13500 N Meridian St
Carmel, IN 46032-1456
Phone (317) 582-7000

8240 Naab Rd
Suite 155
Indianapolis, IN 46260-1985
Phone (317) 338-7760

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Aug 1, 2023 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Cep America LLC CurrentSince Jul 1, 2022 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Physician Assistant CurrentSince Aug 1, 2023 Accepting new patients
Indiana University Health Care Associates, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Cep America LLC CurrentSince Jul 1, 2022 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Mesa Indiana Ed Associates, LLC Physician Assistant Past Accepting new patients
Ritchie Cardiology PC Cardiovascular Disease Past Accepting new patients
Care Group LLC Cardiovascular Disease Past Accepting new patients
Ritchie Cardiology Associates, Inc Cardiovascular Disease Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

5208 Reliable Pkwy
Chicago, IL 60686

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

8240 Naab Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 338-7450

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8333 Naab Rd
Ste 335
Indianapolis, IN 46260
Phone (317) 338-5066

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: jmarkiewicz@direct.iuhealth.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1053436378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321456",
            "telephone_number": "317-582-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 South Reed Road",
            "address_2": "Suite 213",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "46902",
            "country_code": "US",
            "telephone_number": "765-864-6767",
            "fax_number": "765-864-6768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5165 McCarty Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479058764",
            "country_code": "US",
            "telephone_number": "765-448-8000",
            "fax_number": "317-838-4751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKIEWICZ",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "PA- C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000715A",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "10000715A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "10000715A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000715A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000559016",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmarkiewicz@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5165 McCarty Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479058764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ABO",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.