Individual provider Active NPI

Johnathan Nold, MD

  • Family Medicine Physician
  • Jasper, IN
National Provider Identifier
1356082606
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01096877A Issued in IN
Practice address
1950 Saint Charles St Ste 4
Jasper, IN 47546-9172
Phone
(812) 482-9555
Fax
(812) 996-8465
NPI assigned
Apr 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01096877A IN Primary

Addresses

Primary practice location

1950 Saint Charles St Ste 4
Jasper, IN 47546-9172

Mailing address

1950 Saint Charles St Ste 4
Jasper, IN 47546-9172
Phone (812) 996-7810

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203000300 IN Practitioner - Family Practice 1355720566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

1950 Saint Charles St
Jasper, IN 47546-2254
Phone (812) 482-9555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc Family Medicine CurrentSince Dec 28, 2025 Accepting new patients
Deaconess Clinic Inc Family Medicine CurrentSince Dec 28, 2025 Accepting new patients
Deaconess Clinic, Inc Family Medicine Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

1950 Saint Charles St
Ste 4
Jasper, IN 47546
Phone (812) 482-9555

966 Bartley St
Jasper, IN 47546
Phone (812) 996-5425

1950 Saint Charles St
Jasper, IN 47546
Phone (812) 482-9555

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

Interoperability endpoints

  • Direct secure messaging: jnold1041997@direct.deaconess.com
  • Direct secure messaging: jnold32281@direct.mhhcc.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1356082606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SAINT CHARLES ST STE 4",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469172",
            "telephone_number": "812-996-7810",
            "fax_number": "812-996-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SAINT CHARLES ST STE 4",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469172",
            "telephone_number": "812-482-9555",
            "fax_number": "812-996-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLD",
        "first_name": "JOHNATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01096877A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.