Individual provider Active NPI

Jennifer M Okeefe, NP

  • Gerontology Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1356998710
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71009467A Issued in IN
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14532319OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191018000352 IN Practitioner - Nurse Practitioner 0345571543 Reassigns benefits to 4 organizations
I20200831002197 OH Practitioner - Nurse Practitioner 0345571543 Reassigns benefits to 1 organization

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
Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

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 100Reported as group
Quality
80.07
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as group
Quality
79.89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28208903AINMDNurse Practitioner
4704362899MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs, Inc Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Extended Care Specialists, Inc Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Mar 24, 2025 Accepting new patients
Eventus Wholehealth Midwest Inc Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Mar 24, 2025 Accepting new patients
Guidestar Eldercare Corp -Oh Nurse Practitioner CurrentSince Jul 28, 2020 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.

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

Verify at the official NPI Registry.