Active NPI
Jennifer Ann Lockliear, PA-C
- Surgical Physician Assistant
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 5255 E Stop 11 Rd
Indianapolis, IN 46237-6340 - Phone
- (317) 851-2331
- Fax
- (317) 851-2333
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | IN | Primary |
Addresses
Primary practice location
5255 E Stop 11 Rd
Indianapolis, IN 46237-6340
Mailing address
5255 E Stop 11 Rd
Indianapolis, IN 46237-6340
Phone (317) 851-2331
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 Macarthur Blvd
Suite 204
Munster, IN 46321-2916
Phone (219) 836-4220
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (317) 865-5000
Hospital & facility affiliations
- Franciscan Health Indianapolis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Cardiac Surgery Associates SC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| St. Francis Hospital and Health Centers | Past | Accepting new patients |
Locations
2650 Warrenville Rd
Ste 280
Downers Grove, IL 60515
Phone (630) 324-7920
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261
5255 E Stop 11 Rd
Ste 200
Indianapolis, IN 46237
Phone (317) 528-1212
5255 E Stop 11 Rd
Indianapolis, IN 46237
Phone (317) 851-2331
8051 S Emerson Ave
Ste 365
Indianapolis, IN 46237
Phone (317) 851-2331
3900 St Francis Way
Ste 200
Lafayette, IN 47905
Phone (765) 775-2800
611 E Douglas Rd
Ste 208
Mishawaka, IN 46545
Phone (574) 232-5928
1201 Hadley Rd
Mooresville, IN 46158
Phone (317) 783-8148
801 MacArthur Blvd
Ste 204
Munster, IN 46321
Phone (219) 836-4220
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100
Interoperability endpoints
- jlockliear7694@direct.franciscanalliance.org
- jlockliear3279785@direct.trinity-health.org
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Downers Grove, IL
- NPI 1043269160
IN
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Vascular Surgery Physician
- Indianapolis, IN
- NPI 1407940554
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1356449664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 E STOP 11 RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462376340",
"telephone_number": "317-851-2331",
"fax_number": "317-851-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 E STOP 11 RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462376340",
"telephone_number": "317-851-2331",
"fax_number": "317-851-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKLIEAR",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.