Individual provider Active NPI

Jennie Maguire, NP

  • Adult Health Nurse Practitioner
  • Lebanon, IN
National Provider Identifier
1215306444
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71000209A Issued in IN
Practice address
1310 S Lebanon St
Lebanon, IN 46052-2792
Phone
(765) 482-7005
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71000209A IN Primary

Addresses

Primary practice location

1310 S Lebanon St
Lebanon, IN 46052-2792

Mailing address

1310 S Lebanon St
Lebanon, IN 46052-2792
Phone (765) 482-7005

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennie.maguirenp.p9@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

504 W Camp St
Lebanon, IN 46052-1647

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71000209AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana, LLC CurrentSince Nov 14, 2015 Accepting new patients
American Health Network of Indiana LLC CurrentSince Nov 14, 2015 Accepting new patients

Locations

13000 N Meridian St
Ste 101
Carmel, IN 46032
Phone (317) 208-3855

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

4405 Allisonville Rd
Indianapolis, IN 46205
Phone (317) 213-5937

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

2330 S Dixon Rd
Kokomo, IN 46902
Phone (765) 455-5400

1310 S Lebanon St
Lebanon, IN 46052
Phone (765) 482-7005

504 W Camp St
Lebanon, IN 46052
Phone (765) 482-7005

3309 S 750 W
Russiaville, IN 46979
Phone (765) 461-7174

Interoperability endpoints

  • Direct secure messaging: jennie.maguirenp.p9@direct.ahni.nextgenshare.com
  • Direct secure messaging: jmaguire211305@direct.optum.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1215306444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 S LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522792",
            "telephone_number": "765-482-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522792",
            "telephone_number": "765-482-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "JENNIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71000209A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennie.maguirenp.p9@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1310 S Lebanon St",
            "city": "Lebanon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460522792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

Verify at the official NPI Registry.