Jennifer D Blevins, NP
Individual provider Active NPI Family Nurse Practitioner · Franklin, IN
NPI 1073159745 · NPPES record last updated Dec 16, 2019
Key facts
- NPI
- 1073159745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71009628A (IN)
- Practice address
- 970 N Morton St
Franklin, IN 46131-1373 - Phone
- (317) 494-4320
- NPI assigned
- Nov 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Little Clinic of in LLC
Practice addresses (Care Compare)
970 N Morton St
Franklin, IN 46131-1373
Phone (317) 494-4320
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.89 of 100
- Quality
- 67.99
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.32
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200102001527 | IN | Practitioner - Nurse Practitioner | 5799119533 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71009628A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Clinic of in LLC | Family | Current |
Accepting new patients |
| Community Physicians of Indiana Inc | Current |
Accepting new patients | |
| Community Physicians of Indiana Inc | Current |
Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146
970 N Morton St
Franklin, IN 46131
Phone (317) 494-4320
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
115 Fields St
Mooresville, IN 46158
Phone (317) 834-6678
Interoperability endpoints
- jennifer.blevins@krogerhealth.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71009628A | IN | Yes |
Addresses
Primary practice location
970 N Morton St
Franklin, IN 46131-1373
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3100
Other providers in Franklin, IN
- Tina Billingsly
- Bio-Medical Applications of Indiana, Inc.
- Black Jet
- Courtney Black
- Jaycie Blanford
- Blue Iris Optometry
- Alejandro Enrique Bolivar
- Alaina Lynn Boomershine
- Nathanael Kenton Boone
- Brandon Boshaw
All providers in Franklin, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.