Active NPI
Jerrlyn J Jones, NP
- Adult Health Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 28066589A
- Practice address
- 1701 N Senate Blvd
Ste C-3
Indianapolis, IN 46202-1239 - Phone
- (317) 962-2688
- NPI assigned
- May 18, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71000029A | IN | |
| Adult Health Nurse Practitioner | 363LA2200X | 28066589A | IN | Primary |
Addresses
Primary practice location
1701 N Senate Blvd
Ste C-3
Indianapolis, IN 46202-1239
Mailing address
250 N Shadeland Ave Ste 200
Indianapolis, IN 46219-4959
Phone (317) 962-3834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200037920 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jjones18@direct.iuhealth.org |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000029A | IN | MD | Nurse Practitioner |
| 28066589A | IN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Indiana University Health, Inc | Nurse Practitioner | Past | Accepting new patients |
| Iu Health Medical Group, LLC | Nurse Practitioner | Past | Accepting new patients |
| Advanced Healthcare Associates LLP | Nurse Practitioner | Past | Accepting new patients |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000
1115 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-2500
11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000
1633 N Capitol Ave
Ste 322
Indianapolis, IN 46202
Phone (317) 962-2929
720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838
8910 Purdue Rd
Ste 500
Indianapolis, IN 46268
Phone (317) 871-8810
1633 N Capitol Ave
Indianapolis, IN 46202
Phone (317) 962-2929
1701 N Senate Blvd
Ste C3
Indianapolis, IN 46202
Phone (317) 962-2622
1002 Wishard Blvd
Fl 4
Indianapolis, IN 46202
Phone (317) 692-2323
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364
Interoperability endpoints
- jjones18@direct.iuhealth.org
Organizations & group practices 5
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.
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Nurse Practitioner
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Nurse Practitioner
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- NPI 1326893777
Nurse Practitioner
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1235182320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "317-962-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N SENATE BLVD",
"address_2": "STE C-3",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021239",
"telephone_number": "317-962-2688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JERRLYN",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71000029A",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "28066589A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200037920",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jjones18@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1701 N Senate Blvd",
"address_2": "Ste C-3",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.