Individual provider Active NPI

Jenna Nowlin, PA-C

  • Physician Assistant
  • Fishers, IN
National Provider Identifier
1154747129
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002027A Issued in IN
Practice address
14300 E 138TH Ste B
Fishers, IN 46037-0051
Phone
(800) 622-6575
NPI assigned
Mar 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002027A IN Primary
Physician Assistant 363A00000X PA09027 TX

Addresses

Primary practice location

14300 E 138TH Ste B
Fishers, IN 46037-0051

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (800) 622-6575

Other practice location 1

625 S Main St Ste 200
Zionsville, IN 46077-1661
Phone (800) 622-6575

Other practice location 2

6920 Gatwick Dr Ste 200
Indianapolis, IN 46241-9619
Phone (800) 622-6575

Other identifiers 1

IdentifierTypeStateIssuer
C0205428OtherTXDPS NUMBER

Other names 1

  • Jenna Maraldo Former name

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
I20160628002225 IN Practitioner - Physician Assistant 8123319720 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Indiana Orthopedics LLCGroup PAC ID 5698667822, 148 clinicians
Aligned Health Practice LLCGroup PAC ID 3072926948, 2 clinicians

Practice addresses (Care Compare)

14300 E
138TH Suite B
Fishers, IN 46037-0051
Phone (317) 773-4301

300 E Main St
Suite E
Carmel, IN 46032-1782
Phone (317) 210-3722

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 284-7738

625 S Main St
Suite 200
Zionsville, IN 46077-1661
Phone (800) 622-6575

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Iu Health West Hospital Hospital, Avon, IN, CCN 150158

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
64.48
Promoting interoperability
96
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002027AINMDPhysician Assistant
PA09027TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Indiana Orthopedics, LLC CurrentSince Jul 1, 2022 Accepting new patients
Aligned Health Practice LLC CurrentSince Jan 8, 2026 Accepting new patients
Central Indiana Orthopedics, LLC CurrentSince Jul 1, 2022 Accepting new patients
Indiana University Health Care Associates, Inc. CurrentSince Jun 8, 2016 Accepting new patients
Major Hospital Past Accepting new patients
Central Indiana Orthopedics LLC Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

2610 Enterprise Dr
Anderson, IN 46013
Phone (765) 608-3608

541 S Landmark Ave
Bloomington, IN 47403
Phone (317) 455-1064

300 E Main St
Ste E
Carmel, IN 46032
Phone (317) 210-3722

14300 E 138th
Ste B
Fishers, IN 46037
Phone (317) 773-4301

705 Riley Hospital Dr
#4250
Indianapolis, IN 46202
Phone (317) 278-0916

6920 Gatwick Dr
Ste 200
Indianapolis, IN 46241
Phone (317) 455-1064

706 N River Dr
Marion, IN 46952
Phone (765) 651-6637

3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870

625 S Main St
#200
Zionsville, IN 46077
Phone (800) 622-6575

Interoperability endpoints

  • Direct secure messaging: jenna.nowlin.p4@direct.beaconortho.nextgenshare.com

Organizations & group practices 8

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": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1154747129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "800-622-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 E 138TH STE B",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460370051",
            "telephone_number": "800-622-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 S Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Zionsville",
            "state": "IN",
            "postal_code": "460771661",
            "country_code": "US",
            "telephone_number": "800-622-6575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6920 Gatwick Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462419619",
            "country_code": "US",
            "telephone_number": "800-622-6575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWLIN",
        "first_name": "JENNA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002027A",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS NUMBER",
            "identifier": "C0205428",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "MARALDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.