Jennifer S Caswell, M.D.

Individual provider Active NPI Pediatrics Physician · Danville, IN

NPI 1275744179 · NPPES record last updated Mar 3, 2021

Key facts

NPI
1275744179
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
01063760A (IN)
Practice address
100 Hospital LN
Suite 200
Danville, IN 46122-1989
Phone
(317) 745-7337
Fax
(317) 745-3093
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070717000178 IN Practitioner - Pediatric Medicine 3274633490 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01063760AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital Pediatrics Current
since Apr 1, 2019
Accepting new patients
Hendricks County Hospital Pediatrics Current
since Apr 1, 2019
Accepting new patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

100 Hospital Ln
Ste 200
Danville, IN 46122
Phone (317) 745-7337

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01063760A IN Yes

Addresses

Primary practice location

100 Hospital LN
Suite 200
Danville, IN 46122-1989

Mailing address

1100 Southfield Dr
Suite 1370
Plainfield, IN 46168-4498
Phone (317) 837-5571

Other identifiers

IdentifierTypeStateIssuer
200864340MedicaidIN

Other names

  • Jennifer Sue Lucas Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jcaswell228563@direct-PRD.stelizabeth.com

Other providers in Danville, IN

All providers in Danville, IN · Pediatrics Physician in Indiana

Sources for this page

Verify at the official NPI Registry.