Individual provider Active NPI

Jan Hoover, FNP

  • Family Nurse Practitioner
  • Logansport, IN
National Provider Identifier
1346618691
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005787A Issued in IN
Practice address
1025 Michigan Ave Ste 125
Logansport, IN 46947
Phone
(574) 753-2222
Fax
(574) 753-0522
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71005787A IN Primary

Addresses

Primary practice location

1025 Michigan Ave Ste 125
Logansport, IN 46947

Mailing address

1025 Michigan Ave Ste 125
Logansport, IN 46947-1664
Phone (574) 722-2222

Other practice location 1

188 E Southway Blvd
Kokomo, IN 46902-3650
Phone (765) 453-9000

Other practice location 2

188 E Southway Blvd
Kokomo, IN 46902-3650
Phone (765) 453-9000

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
I20151016000456 IN Practitioner - Nurse Practitioner 6305155250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8123923281, 64 clinicians
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
Parkview Logansport Hospital IncGroup PAC ID 8921500646, 41 clinicians

Practice addresses (Care Compare)

1025 Michigan Ave
Suite 215
Logansport, IN 46947-1594
Phone (574) 753-2222

1101 Michigan Ave
Loganport, IN 46947-1528
Phone (574) 753-7541

817 Trail Ridge Rd
Albion, IN 46701-1534
Phone (260) 373-9590

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71005787AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Logansport Hospital, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Parkview Logansport Hospital, Inc. CurrentSince Aug 1, 2018 Accepting new patients

Locations

1025 Michigan Ave
Ste 15
Logansport, IN 46947
Phone (574) 753-9000

1025 Michigan Ave
Ste 215
Logansport, IN 46947
Phone (574) 753-2222

1025 Michigan Ave
Ste 125
Logansport, IN 46947
Phone (574) 753-2222

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

751 W 2nd St
Ste 100
Peru, IN 46970
Phone (765) 919-4378

Interoperability endpoints

  • Direct secure messaging: jan.hoover.3@7598.direct.athenahealth.com
  • Direct secure messaging: jan.hoover.4@7598.direct.athenahealth.com

Organizations & group practices 3

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1346618691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MICHIGAN AVE STE 125",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471664",
            "telephone_number": "574-722-2222",
            "fax_number": "574-753-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MICHIGAN AVE STE 125",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "46947",
            "telephone_number": "574-753-2222",
            "fax_number": "574-753-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 E Southway Blvd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469023650",
            "country_code": "US",
            "telephone_number": "765-453-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 E Southway Blvd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469023650",
            "country_code": "US",
            "telephone_number": "765-453-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "JAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005787A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.