Individual provider Active NPI

Mary Ann Meyer Jones, M.D.

  • Obstetrics & Gynecology Physician
  • Chesterton, IN
National Provider Identifier
1073525200
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01046381A Issued in IN
Practice address
2022 Kelle Dr
Chesterton, IN 46304-8708
Phone
(219) 462-0909
Fax
(219) 462-9910
NPI assigned
Aug 13, 2006
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01046381A IN Primary

Addresses

Primary practice location

2022 Kelle Dr
Chesterton, IN 46304-8708

Mailing address

2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 462-0909

Other identifiers 1

IdentifierTypeStateIssuer
200134370AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100415000869 IN Practitioner - Obstetrics/Gynecology 4486780517 Reassigns benefits to 2 organizations
I20231205002926 WI Practitioner - Obstetrics/Gynecology 4486780517 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01046381AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Apr 22, 2024 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Apr 22, 2024 Accepting new patients
Healthlinc, Inc. CurrentSince Jun 29, 2020 Accepting new patients
Healthlinc, Inc CurrentSince Jun 29, 2020 Accepting new patients
Obhg Wisconsin, S.C. Obstetrics & Gynecology CurrentSince Nov 3, 2023 Accepting new patients
Obhg Indiana, PC Obstetrics & Gynecology CurrentSince Apr 24, 2022 Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 576-8798

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

Organizations & group practices 6

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1073525200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 KELLE DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048708",
            "telephone_number": "219-462-0909",
            "fax_number": "219-462-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 KELLE DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048708",
            "telephone_number": "219-462-0909",
            "fax_number": "219-462-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER JONES",
        "first_name": "MARY ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01046381A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200134370A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterton, IN

Sources for this page

Verify at the official NPI Registry.