Active NPI
Jason R Bickel, DPM
- Podiatrist
- Vincennes, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07001040A
- Practice address
- 202 Broadway St
Vincennes, IN 47591-1228 - Phone
- (812) 882-3312
- Fax
- (812) 882-6181
- NPI assigned
- Sep 8, 2005
- Last updated
- Apr 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 599 | TN | |
| Podiatrist | 213E00000X | 07001040A | IN | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001040A | IN |
Addresses
Primary practice location
202 Broadway St
Vincennes, IN 47591-1228
Mailing address
1160 E Saint Clair St
Vincennes, IN 47591-4853
Phone (812) 885-3325
Other practice location 1
328 N 2nd St Ste 205
Vincennes, IN 47591
Phone (812) 882-3312
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000542574 | Other | IL | ANTHEM |
| 200879590A | Medicaid | IN | |
| 000000542568 | Other | IN | ANTHEM |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 N Illinois St
FL 16
Indianapolis, IN 46204-1904
Phone (888) 964-6681
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 8160 |
| Removal or shaving of skin growth | 944 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 599 | TN | MD | Specialist |
| 07001040A | IN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthdrive Podiatry Group, PC | Podiatrist | Current | Accepting new patients |
| Greeneville Orthopaedic Clinic, P.C. | Specialist | Past | Accepting new patients |
| Vincennes Podiatry Associates, LLC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HealthDrive Podiatry Group
- Podiatrist
- Dublin, OH
- NPI 1689613598
IN
-
- Foot & Ankle Surgery Podiatrist
- Vincennes, IN
- NPI 1881880938
-
- Specialist
- Greeneville, TN
- NPI 1407949100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1093709750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 E SAINT CLAIR ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475914853",
"telephone_number": "812-885-3325",
"fax_number": "812-885-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 BROADWAY ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911228",
"telephone_number": "812-882-3312",
"fax_number": "812-882-6181"
}
],
"practiceLocations": [
{
"address_1": "328 N 2nd St Ste 205",
"address_purpose": "LOCATION",
"city": "Vincennes",
"state": "IN",
"postal_code": "47591",
"country_code": "US",
"telephone_number": "812-882-3312",
"fax_number": "812-882-6181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BICKEL",
"first_name": "JASON",
"middle_name": "R",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "599",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07001040A",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07001040A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000542574",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200879590A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000542568",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.