Active NPI
Jacqueline S Rowles, CRNA, ANP-BC
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
National Provider Identifier
1174594097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28084276A
- Practice address
- 9002 N Meridian St
Lower Level
Indianapolis, IN 46260-5381 - Phone
- (574) 268-9640
- Fax
- (574) 268-0684
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28084276A | IN | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 71004611A | IN |
Addresses
Primary practice location
9002 N Meridian St
Lower Level
Indianapolis, IN 46260-5381
Mailing address
15272 Kampen Cir
Carmel, IN 46033-0002
Phone (574) 268-9640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200000030 | Medicaid | IN |
Other names 1
- Jacqueline Rowles
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71004611A | IN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Health Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Carmel, IN
- NPI 1255409413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1174594097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15272 KAMPEN CIR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460330002",
"telephone_number": "574-268-9640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9002 N MERIDIAN ST",
"address_2": "LOWER LEVEL",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605381",
"telephone_number": "574-268-9640",
"fax_number": "574-268-0684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWLES",
"first_name": "JACQUELINE",
"middle_name": "S",
"credential": "CRNA, ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28084276A",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "71004611A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200000030",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "ROWLES",
"credential": "CRNA, ANP-BC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.