Individual provider Active NPI

Jay Lee Hoeksema, NP

  • Family Nurse Practitioner
  • Peru, IN
National Provider Identifier
1124625926
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010433A Issued in IN
Practice address
661 E Main St
Peru, IN 46970-2662
Phone
(765) 472-2519
Fax
(765) 400-4465
NPI assigned
Oct 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28160280A IN
Family Nurse Practitioner 363LF0000X 71010433A IN Primary
Nurse Practitioner 363L00000X 71010433A IN

Addresses

Primary practice location

661 E Main St
Peru, IN 46970-2662

Mailing address

8003 Castleway Dr
Indianapolis, IN 46250-1946
Phone (317) 576-1335

Other practice location 1

1101 Michigan Ave
Logansport, IN 46947-1528
Phone (574) 753-7541

Other practice location 2

35 Bob Babbs Dr
Spencer, IN 47460-6828
Phone (812) 652-1700

Other practice location 3

1700 Dividend Dr
Logansport, IN 46947-1572
Phone (574) 722-7407

Other identifiers 3

IdentifierTypeStateIssuer
71010433BOtherINCSR PRESCRIPTIVE AUTHORITY
28160280AOtherINREG. NURSING
71010433AOtherINAPRN PRESCRIPTIVE AUTHORITY

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
I20201020000259 IN Practitioner - Nurse Practitioner 9638599350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Health Centers IncGroup PAC ID 3971599473, shared by 16 NPIs, 63 clinicians

Practice addresses (Care Compare)

661 E Main St
CHC of Miami County
Peru, IN 46970-2662
Phone (765) 472-2519

Hospital & facility affiliations

  • Memorial Hospital Hospital, Logansport, IN, CCN 150072
  • Dukes Memorial Hospital Hospital, Peru, IN, CCN 151318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71010433AINMDNurse Practitioner
28160280AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Primary Care Physicians Midwest, S.C. Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Emergency Professionals of Indiana, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Indiana Health Centers, Inc. Past Accepting new patients
Indiana Health Centers, Inc. Family Past Accepting new patients
Indiana Health Centers, Inc Past Accepting new patients

Locations

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

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1124625926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501946",
            "telephone_number": "317-576-1335",
            "fax_number": "317-343-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E MAIN ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469702662",
            "telephone_number": "765-472-2519",
            "fax_number": "765-400-4465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "IN",
            "postal_code": "469471528",
            "country_code": "US",
            "telephone_number": "574-753-7541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Bob Babbs Dr",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "IN",
            "postal_code": "474606828",
            "country_code": "US",
            "telephone_number": "812-652-1700",
            "fax_number": "812-954-5023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Dividend Dr",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "IN",
            "postal_code": "469471572",
            "country_code": "US",
            "telephone_number": "574-722-7407",
            "fax_number": "574-847-7203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOEKSEMA",
        "first_name": "JAY",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28160280A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010433A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010433A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR PRESCRIPTIVE AUTHORITY",
            "identifier": "71010433B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REG. NURSING",
            "identifier": "28160280A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN PRESCRIPTIVE AUTHORITY",
            "identifier": "71010433A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IN

Sources for this page

Verify at the official NPI Registry.