Individual provider Active NPI

Jeremy L Gunter, FNP

  • Family Nurse Practitioner
  • South Bend, IN
National Provider Identifier
1285198150
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008859A Issued in IN
Practice address
53880 Carmichael Dr
South Bend, IN 46635-1567
Phone
(574) 247-9441
Fax
(574) 247-9442
NPI assigned
Jan 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008859A IN Primary
General Practice Registered Nurse 163WG0000X 28200911A IN

Addresses

Primary practice location

53880 Carmichael Dr
South Bend, IN 46635-1567

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407

Other practice location 1

303 S Nappanee St Ste F
Elkhart, IN 46514-2066
Phone (574) 247-9441

Other practice location 2

60160 Bodnar Blvd
Mishawaka, IN 46544-9338
Phone (574) 247-9441

Other practice location 3

2349 Lake Ave Ste 201
Plymouth, IN 46563-7837
Phone (574) 247-9441

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190508001605 IN Practitioner - Nurse Practitioner 0547502775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Indiana Orthopedics LLCGroup PAC ID 5698667822, 148 clinicians

Practice addresses (Care Compare)

53880 Carmichael Dr
South Bend, IN 46635-1567
Phone (317) 455-1064

Hospital & facility affiliations

  • Saint Joseph Regional Medical Center Hospital, Mishawaka, IN, CCN 150012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28200911AINMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Central Indiana Orthopedics LLC CurrentSince Dec 1, 2025 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Central Indiana Orthopedics, LLC CurrentSince Dec 1, 2025 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Current Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Family Past Accepting new patients

Locations

303 S Nappanee St
Ste F
Elkhart, IN 46514
Phone (547) 247-9441

611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

60160 Bodnar Blvd
Mishawaka, IN 46544
Phone (574) 247-2790

60101 Bodnar Blvd
Ste 100B
Mishawaka, IN 46544
Phone (574) 335-8500

3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870

2349 Lake Ave
Ste 201
Plymouth, IN 46563
Phone (574) 540-2500

53880 Carmichael Dr
South Bend, IN 46635
Phone (574) 234-1159

707 Cedar St
Ste 200
South Bend, IN 46617
Phone (574) 237-1328

Interoperability endpoints

  • Direct secure messaging: jeremy.gunter.p4@direct.beaconortho.nextgenshare.com
  • Direct secure messaging: jeremy.gunter.1@13070.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1285198150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53880 CARMICHAEL DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351567",
            "telephone_number": "574-247-9441",
            "fax_number": "574-247-9442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 S Nappanee St Ste F",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465142066",
            "country_code": "US",
            "telephone_number": "574-247-9441",
            "fax_number": "574-247-9442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60160 Bodnar Blvd",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465449338",
            "country_code": "US",
            "telephone_number": "574-247-9441",
            "fax_number": "574-247-9442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2349 Lake Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "IN",
            "postal_code": "465637837",
            "country_code": "US",
            "telephone_number": "574-247-9441",
            "fax_number": "574-247-9442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNTER",
        "first_name": "JEREMY",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-25",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008859A",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IN",
            "license": "28200911A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.