Individual provider Active NPI

Jennifer Arline Pierce, NP

  • Nurse Practitioner
  • Avon, IN
National Provider Identifier
1063046837
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71010065A Issued in IN
Practice address
8244 E US Highway 36 Ste 1100
Avon, IN 46123-9627
Phone
(317) 272-7500
Fax
(317) 272-7515
NPI assigned
Mar 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nurse Practitioner 363L00000X 71010065A IN Primary

Addresses

Primary practice location

8244 E US Highway 36 Ste 1100
Avon, IN 46123-9627

Mailing address

8244 E US Highway 36 Ste 1100
Avon, IN 46123-9627
Phone (317) 272-7500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpierce328915@direct-PRD.stelizabeth.com

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
I20200708000824 IN Practitioner - Nurse Practitioner 0345663423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

8244 E US Hwy 36 1100
Hendricks Community Hospital
Avon, IN 46123-9627
Phone (317) 272-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71010065AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Jun 8, 2020 Accepting new patients
Hendricks County Hospital CurrentSince Jun 8, 2020 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

5492 N Ronald Reagan Pkwy
Ste 130
Brownsburg, IN 46112
Phone (317) 456-9050

1100 Southfield Dr
Ste 1140
Plainfield, IN 46168
Phone (317) 839-7200

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

Interoperability endpoints

  • Direct secure messaging: jpierce328915@direct-prd.stelizabeth.com
  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1063046837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8244 E US HIGHWAY 36 STE 1100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239627",
            "telephone_number": "317-272-7500",
            "fax_number": "317-272-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8244 E US HIGHWAY 36 STE 1100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239627",
            "telephone_number": "317-272-7500",
            "fax_number": "317-272-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JENNIFER",
        "middle_name": "ARLINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010065A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpierce328915@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "8244 E US Highway 36 Ste 1100",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461239627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.