Individual provider Active NPI

Jennifer L Allen, M.D.

  • Internal Medicine Physician
  • Danville, IN
National Provider Identifier
1386937258
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01074528A Issued in IN
Practice address
100 Hospital LN
Suite 115
Danville, IN 46122-1989
Phone
(317) 718-4066
Fax
(317) 718-4076
NPI assigned
May 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01074528A IN Primary

Addresses

Primary practice location

100 Hospital LN
Suite 115
Danville, IN 46122-1989

Mailing address

1100 Southfield Dr
Suite 1370
Plainfield, IN 46168-4498
Phone (317) 837-5571

Other identifiers 1

IdentifierTypeStateIssuer
201094740MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jallen228567@direct-PRD.stelizabeth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140923002554 IN Practitioner - Internal Medicine 2567695331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County Hospital 341 clinicians

Practice addresses (Care Compare)

100 Hospital LN
Suite 115
Danville, IN 46122-2000
Phone (317) 718-4066

Hospital & facility affiliations

  • Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
  • Hendricks Regional Health Hospital, Danville, IN, CCN 150005
  • Putnam County Hospital Hospital, Greencastle, IN, CCN 151333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital CurrentSince Aug 17, 2014 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital Internal Medicine CurrentSince Aug 17, 2014 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

100 Hospital Ln
Ste 115
Danville, IN 46122
Phone (317) 718-4066

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
  • Direct secure messaging: jallen228567@direct-prd.stelizabeth.com

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 3

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1386937258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR",
            "address_2": "SUITE 1370",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684498",
            "telephone_number": "317-837-5571",
            "fax_number": "317-837-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL LN",
            "address_2": "SUITE 115",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221989",
            "telephone_number": "317-718-4066",
            "fax_number": "317-718-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01074528A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201094740",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jallen228567@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "100 Hospital Ln",
            "address_2": "Suite 115",
            "city": "Danville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461221989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

Verify at the official NPI Registry.