NPIMap

Individual provider Active NPI

Jacqueline S. Trueblood, M.D.

  • Internal Medicine Physician
  • Bloomington, IN
National Provider Identifier
1356305577
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01061354A Issued in IN
Practice address
645 S Rogers St Ste a
Bloomington, IN 47403-2353
Phone
(812) 339-1691
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01061354A IN Primary

Addresses

Primary practice location

645 S Rogers St Ste a
Bloomington, IN 47403-2353

Mailing address

645 S Rogers St Ste a
Bloomington, IN 47403-2353
Phone (812) 339-1691

Other identifiers 1

IdentifierTypeStateIssuer
200814880MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060424000590 IN Practitioner - Internal Medicine 4880662683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Centerstone Health Services IncGroup PAC ID 1850497173, 25 clinicians

Practice addresses (Care Compare)

390 Erie Ave
Suite a
Connersville, IN 47331-3177
Phone (812) 325-7492

645 S Rogers St
Bloomington, IN 47403-2353

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01061354AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Indiana, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Centerstone Health Services, Inc CurrentSince Apr 3, 2023 Accepting new patients
Northwest Indiana Treatment Center, LLC CurrentSince Aug 19, 2025 Accepting new patients
Centerstone Health Services, Inc. Current Accepting new patients
Centerstone of Indiana, Inc. Current Accepting new patients
Centerstone Health Services, Inc. CurrentSince Apr 3, 2023 Accepting new patients
Premier Integrated Medical Assoc LTD Past Accepting new patients
Premier Integrated Medical Assoc LTD Past Accepting new patients
Centerstone Health Services, Inc. Past Accepting new patients

Locations

645 S Rogers St
Ste A
Bloomington, IN 47403
Phone (812) 269-5092

720 N Marr Rd
Ste A
Columbus, IN 47201
Phone (812) 314-3400

720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400

390 Erie Ave
Ste A
Connersville, IN 47331
Phone (812) 325-7492

831 Dillon Dr
Ste A
Richmond, IN 47374
Phone (765) 200-7900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24341/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jacqueline.trueblood.1@24341.direct.athenahealth.com

Organizations & group practices 10

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 3

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1356305577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S ROGERS ST STE A",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032353",
            "telephone_number": "812-339-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S ROGERS ST STE A",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032353",
            "telephone_number": "812-339-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUEBLOOD",
        "first_name": "JACQUELINE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01061354A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200814880",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.