Individual provider Active NPI

Jaspreet Dhaliwal, FNP-BC

  • Family Nurse Practitioner
  • Plainfield, IN
National Provider Identifier
1093346397
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009868A Issued in IN
Practice address
1100 Southfield Dr Ste 1140
Plainfield, IN 46168-4499
Phone
(317) 939-7200
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71009868A IN Primary

Addresses

Primary practice location

1100 Southfield Dr Ste 1140
Plainfield, IN 46168-4499

Mailing address

2114 Cassia Dr
Plainfield, IN 46168-4784
Phone (317) 627-1273

Other practice location 1

1100 Southfield Dr Ste 1140
Plainfield, IN 46168-4499
Phone (317) 839-7200

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
I20200407002605 IN Practitioner - Nurse Practitioner 6901235241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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

State licenses

LicenseStateTypeSpecialty
71009868AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital CurrentSince May 22, 2023 Accepting new patients
Hendricks County Hospital CurrentSince May 22, 2023 Accepting new patients
Hendricks County Hospital Current Accepting new patients

Locations

8244 E US Highway 36
Avon, IN 46123
Phone (317) 272-3636

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 1100
Plainfield, IN 46168
Phone (317) 838-3434

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

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

Organizations & group practices 3

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": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1093346397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 CASSIA DR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684784",
            "telephone_number": "317-627-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR STE 1140",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684499",
            "telephone_number": "317-939-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Southfield Dr Ste 1140",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IN",
            "postal_code": "461684499",
            "country_code": "US",
            "telephone_number": "317-839-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "JASPREET",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009868A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.