Active NPI
Jacklyn Lynnae Campins, CNM
- Advanced Practice Midwife
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 09000369A
- Practice address
- 11725 Illinois St
Carmel, IN 46032-3008 - Phone
- (317) 688-5200
- NPI assigned
- Feb 24, 2021
- Last updated
- Mar 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 71011036A | IN | |
| Advanced Practice Midwife | 367A00000X | 09000369A | IN | Primary |
Addresses
Primary practice location
11725 Illinois St
Carmel, IN 46032-3008
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
3401 E Raymond St
Indianapolis, IN 46203-4744
Phone (317) 957-2070
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JCAMPINS@DIRECT.IUHEALTH.ORG | Direct |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8051 S Emerson Ave
400 OBGYN of Indiana South
Indianapolis, IN 46237-8633
Phone (317) 865-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011036A | IN | MD | Women's Health Nurse Practitioner |
| 09000369A | IN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Seven Hills OB-GYN Associates LLC | Women's Health | Current | Accepting new patients |
| Seven Hills OB-GYN Associates, LLC | Women's Health | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Obstetrics & Gynecology of Indiana, LLC | Past | Accepting new patients |
Locations
11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718
11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
8051 S Emerson Ave
Ste 400
Indianapolis, IN 46237
Phone (317) 865-3600
1205 Hadley Rd
Ste 120
Mooresville, IN 46158
Phone (317) 584-3454
Interoperability endpoints
- jacklyn.campins@axia.eclinicaldirectplus.com
- jcampins@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Axia Women's Health Midwest Laboratory
- Obstetrics & Gynecology Physician
- Carmel, IN
- NPI 1396350187
Women's Health
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Obstetrics & Gynecology Physician
- Indianapolis, IN
- NPI 1780312975
Women's Health
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Obstetrics & Gynecology Physician
- Carmel, IN
- NPI 1942290143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1275127805",
"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": "11725 ILLINOIS ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323008",
"telephone_number": "317-688-5200"
}
],
"practiceLocations": [
{
"address_1": "3401 E Raymond St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462034744",
"country_code": "US",
"telephone_number": "317-957-2070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPINS",
"first_name": "JACKLYN",
"middle_name": "LYNNAE",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-24",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IN",
"license": "71011036A",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IN",
"license": "09000369A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JCAMPINS@DIRECT.IUHEALTH.ORG",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11725 Illinois St",
"city": "Carmel",
"state": "IN",
"country_code": "US",
"postal_code": "460323008",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.