Active NPI
Jennifer L Allen, M.D.
- Internal Medicine Physician
- Danville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01074528A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201094740 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
100 Hospital LN
Suite 115
Danville, IN 46122-2000
Phone (317) 718-4066
Hospital & facility affiliations
- Suburban Home Health LLC
- Hendricks Regional Health
- Putnam County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendricks County Hospital | Current | Accepting new patients | |
| Hendricks County Hospital | Current | Accepting new patients | |
| Hendricks County Hospital | Internal Medicine | Current | 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
- https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
- 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.
-
- Pediatrics Physician
- Brownsburg, IN
- NPI 1508758210
-
- Urgent Care Clinic/Center
- Avon, IN
- NPI 1063411551
-
- Family Medicine Physician
- Plainfield, IN
- NPI 1104927557
-
- Family Medicine Physician
- Avon, IN
- NPI 1598993784
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Noblesville, IN
- NPI 1598872939
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.