Individual provider Active NPI

Jerry Warren Whetzel, MD

  • Family Medicine Physician
  • Muncie, IN
National Provider Identifier
1215935705
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01051865A Issued in IN
Practice address
2901 W Jackson St
Muncie, IN 47304-4307
Phone
(765) 751-5010
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01051865 IN
Family Medicine Physician 207Q00000X 01051865A IN Primary

Addresses

Primary practice location

2901 W Jackson St
Muncie, IN 47304-4307

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

430 W Votaw St
Portland, IN 47371-1302
Phone (260) 726-7616

Other identifiers 3

IdentifierTypeStateIssuer
000000308400OtherANTHEM
8659OtherPHP
200249490MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jwhetzel@direct.iuhealth.org Direct
Direct Messaging Address jwhetzel1@direct.iuhealth.org Direct
Direct Messaging Address jwhetzel1@direct.iuhealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000519 IN Practitioner - Family PracticePractitioner - Hospitalist 6406760925 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana University Health Ball Memorial Physicians IncGroup PAC ID 9537072640, 286 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

221 N Celia Ave
Muncie, IN 47303-4609
Phone (765) 747-3141

250 N Shadeland Ave
Indianapolis, IN 46219-4959

2901 W Jackson St
Muncie, IN 47304-4307
Phone (888) 484-3258

500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-7131

510 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-2993

Hospital & facility affiliations

  • Home Health Angels LLC Home health agency, Winchester, IN, CCN 157610
  • Centerwell Home Health Home health agency, Muncie, IN, CCN 157180
  • Elara Caring Home health agency, Fort Wayne, IN, CCN 157243
  • Indiana University Health Jay, Inc. Hospital, Portland, IN, CCN 151320
  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Waters of Dunkirk Skilled Nursing Facility, the Nursing home, Dunkirk, IN, CCN 155571

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue298
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01051865INMDFamily Medicine Physician
01051865AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. Family Medicine CurrentSince Mar 1, 2018 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc Family Medicine CurrentSince Jan 1, 1990 Accepting new patients
Jay County Government Current Accepting new patients
Vormohr Medical Center Family Medicine Past Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. PastSince Jan 1, 1990 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

11563 W 300 S
Dunkirk, IN 47336
Phone (765) 768-5737

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

2901 W Jackson St
Muncie, IN 47304
Phone (765) 286-3900

1758 W 100 S
Portland, IN 47371
Phone (260) 726-1814

500 W Votaw St
Ste A
Portland, IN 47371
Phone (260) 726-2313

500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515

430 W Votaw St
Portland, IN 47371
Phone (260) 726-7616

Interoperability endpoints

  • Direct secure messaging: jwhetzel@direct.iuhealth.org

Organizations & group practices 7

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 7

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1215935705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044307",
            "telephone_number": "765-751-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 W Votaw St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "IN",
            "postal_code": "473711302",
            "country_code": "US",
            "telephone_number": "260-726-7616",
            "fax_number": "260-726-8165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHETZEL",
        "first_name": "JERRY",
        "middle_name": "WARREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01051865",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01051865A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000308400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "8659",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200249490",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwhetzel@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2901 W Jackson St",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473044307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwhetzel1@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "430 W Votaw St",
            "city": "Portland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473711302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwhetzel1@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1758 W 100 S",
            "city": "Portland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473718204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.