Active NPI
Dean Edward Jones
- Family Nurse Practitioner
- Bloomington, IN
National Provider Identifier
1114220761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71003585A
- Practice address
- 514 W 2ND St
Bloomington, IN 47403-2316 - Phone
- (812) 353-3716
- Fax
- (812) 353-9630
- NPI assigned
- Dec 20, 2010
- Last updated
- Jun 19, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71003585A | IN | Primary |
Addresses
Primary practice location
514 W 2ND St
Bloomington, IN 47403-2316
Mailing address
PO Box 1329
Bloomington, IN 47402-1329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201062950 | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8904 Bash St
Suite B
Indianapolis, IN 46256-1286
Phone (317) 735-6001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Living Concepts, LLC | Current | Accepting new patients | |
| Paradigm Living Concepts, LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Family | Past | Accepting new patients |
Locations
8904 Bash St
Ste B
Indianapolis, IN 46256
Phone (317) 735-6001
Organizations & group practices 4
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.
-
- Gerontology Nurse Practitioner
- Indianapolis, IN
- NPI 1679194773
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
dba Paradigm Health
- Community Based Hospice Care Agency
- Fort Wayne, IN
- NPI 1669186334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592524800000",
"number": "1114220761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1329",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474021329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 W 2ND ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032316",
"telephone_number": "812-353-3716",
"fax_number": "812-353-9630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DEAN",
"middle_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-20",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71003585A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201062950",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.