Jessica L. Barnes

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

24-017241 Issued in IN

Practice address

2625 Braxton Dr
Indianapolis, IN 46229-5514

Phone

(317) 828-9254

NPI assigned

Oct 7, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Glynn'S Healing Hands LLC.

  • PACE Provider Organization
  • Indianapolis, IN
  • NPI 1366302341

  Program of All-Inclusive Care for the Elderly (Pace) Provider Organization

  NPD Authorized official

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1174342109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BRAXTON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462295514",
            "telephone_number": "317-828-9254",
            "fax_number": "317-669-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 BRAXTON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462295514",
            "telephone_number": "317-828-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "IN",
            "license": "24-017241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell Wayne Barnes, MS, LAT, ATC, C SCS
• Dawn Barnes
• Demetria Barnes
• Felecia Barnes
• Gary N Barnes
• Laquita Barnes, CERT.HAIR LOSS SPEC.
• Mosi A Barnes
• Patrick Joseph Barnes, LCSW
• Peggy B Barnes, LCSW
• Reginald P Barnes Jr., MS, ATC

• PACE Provider Organization in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• PACE Provider Organization in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.