Active NPI
Jennifer M Okeefe, NP
- Gerontology Nurse Practitioner
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 71009467A
- Practice address
- 2100 N Main St Ste 304
Crown Point, IN 46307-1877 - Phone
- (574) 546-1900
- Fax
- (574) 546-1999
- NPI assigned
- Aug 21, 2019
- Last updated
- Dec 5, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28208903A | IN | |
| Nurse Practitioner | 363L00000X | 4704362899 | MI | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.0027228 | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | 71009467A | IN | Primary |
Addresses
Primary practice location
2100 N Main St Ste 304
Crown Point, IN 46307-1877
Mailing address
2100 N Main St Ste 304
Crown Point, IN 46307-1877
Phone (574) 546-1900
Other practice location 1
21 E State St
Columbus, OH 43215-4281
Phone (574) 546-1999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14532319 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9775 Crosspoint Blvd
Suite 118
Indianapolis, IN 46256-3376
Phone (317) 588-3067
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.06 of 100
- Quality
- 80.07
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 79.89
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28208903A | IN | MD | Nurse Practitioner |
| 4704362899 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus Ecs, Inc | Nurse Practitioner | Current | Accepting new patients |
| Extended Care Specialists, Inc | Nurse Practitioner | Current | Accepting new patients |
| Mid-South Home Care Services, LLC | Current | Accepting new patients | |
| Eventus Wholehealth Midwest Inc | Nurse Practitioner | Current | Accepting new patients |
| Mid-South Home Care Services, LLC | Current | Accepting new patients | |
| Guidestar Eldercare Corp -Oh | Nurse Practitioner | Current | Accepting new patients |
Locations
2100 Midway St
Columbus, IN 47201
Phone 3178181240225
150 W Market St
Ste 400
Indianapolis, IN 46204
9775 Crosspoint Blvd
Ste 118
Indianapolis, IN 46256
Phone (317) 381-0095
8398 Mississippi St
Fl 2
Merrillville, IN 46410
655 Brawley School Rd
Ste 200
Mooresville, NC 28117
990 Bayley Dr
Cincinnati, OH 45233
Phone (513) 347-5500
21 E State St
Columbus, OH 43215
Phone (574) 546-1999
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1356998710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 N MAIN ST STE 304",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463071877",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N MAIN ST STE 304",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463071877",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
}
],
"practiceLocations": [
{
"address_1": "21 E State St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432154281",
"country_code": "US",
"telephone_number": "574-546-1999",
"fax_number": "574-546-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKEEFE",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28208903A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704362899",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.0027228",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IN",
"license": "71009467A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14532319",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.