Individual provider Active NPI

Jennifer Ann Lockliear, PA-C

  • Surgical Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1356449664
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
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

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070322000000 IN Practitioner - Physician Assistant 7416050257 Reassigns benefits to 3 organizations

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
Cardiac Surgery Associates SCGroup PAC ID 2860304102, 44 clinicians

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 Hospital, Indianapolis, IN, CCN 150162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Sep 1, 2020 Accepting new patients
Franciscan Physician Network CurrentSince Sep 1, 2020 Accepting new patients
Cardiac Surgery Associates SC CurrentSince Jan 1, 2009 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

  • Direct secure messaging: jlockliear7694@direct.franciscanalliance.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.