Active NPI
Jordan Maxwell, DO
- Surgery Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 02007042A
- Practice address
- 1701 S Creasy LN
Lafayette, IN 47905-4972 - Phone
- (765) 502-4780
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101022569 | MI | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 5101025758 | MI | |
| Surgery Physician | 208600000X | 02007042A | IN | Primary |
Addresses
Primary practice location
1701 S Creasy LN
Lafayette, IN 47905-4972
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
1710 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 361-3387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 S Creasy LN
Lafayette, IN 47905-4972
Phone (765) 502-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.56 of 100
- Quality
- 58.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.73
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 176 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02007042A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Ameriwound Physicians in LLC | Current | Accepting new patients | |
| Ameriwound Physicians Il LLC | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients |
Locations
1201 Dixie Hwy
Beecher, IL 60401
Phone (708) 946-2600
615 W Webb St
Carmi, IL 62821
Phone (618) 382-7270
2611 16th St
Bedford, IN 47421
1710 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-2800
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211
1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
701 S Main St
Summitville, IN 46070
Phone (765) 203-2671
6150 Parkland Blvd
Ste 225
Mayfield Hts, OH 44124
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- General Practice Physician
- Skokie, IL
- NPI 1104245893
-
- Specialist
- Whiting, IN
- NPI 1801312863
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crawfordsville, IN
- NPI 1588774558
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1356790851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S CREASY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054972",
"telephone_number": "765-502-4780"
}
],
"practiceLocations": [
{
"address_1": "1710 Lafayette Rd",
"address_purpose": "LOCATION",
"city": "Crawfordsville",
"state": "IN",
"postal_code": "479331033",
"country_code": "US",
"telephone_number": "765-361-3387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAXWELL",
"first_name": "JORDAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101022569",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MI",
"license": "5101025758",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "02007042A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.