Individual provider Active NPI

Jacob Daniel Holzhausen, FNP

  • Family Nurse Practitioner
  • Plainfield, IN
National Provider Identifier
1477438612
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71017179A Issued in IN
Practice address
1100 Southfield Dr Ste 1140
Plainfield, IN 46168-4499
Phone
(317) 839-7200
Fax
(317) 837-7926
NPI assigned
Aug 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71017179A IN Primary

Addresses

Primary practice location

1100 Southfield Dr Ste 1140
Plainfield, IN 46168-4499

Mailing address

1100 Southfield Dr Ste 1370
Plainfield, IN 46168-4300
Phone (317) 837-5566

Other practice location 1

5492 N Ronald Reagan Pkwy Ste 130
Brownsburg, IN 46112-5658
Phone (317) 456-9050

Other practice location 2

8244 E US Highway 36 Ste 1100
Avon, IN 46123-9627
Phone (317) 272-7500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jholzhausen459701@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251017002826 IN Practitioner - Nurse Practitioner 7416444880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

1100 Southfield Dr
Plainfield, IN 46168-4499

5492 N Ronald Reagan Pkwy
Suite 130
Brownsburg, IN 46112-5618
Phone (317) 456-9050

8244 E US Hwy 36 1100
Hendricks Community Hospital
Avon, IN 46123-9627
Phone (317) 272-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71017179AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Oct 10, 2025 Accepting new patients
Hendricks County Hospital CurrentSince Oct 10, 2025 Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

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

5492 N Ronald Reagan Pkwy
Ste 130
Brownsburg, IN 46112
Phone (317) 456-9050

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

1100 Southfield Dr
Ste 1140
Plainfield, IN 46168
Phone (317) 839-7200

Interoperability endpoints

  • Direct secure messaging: jholzhausen459701@direct-prd.stelizabeth.com
  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

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.

Hospital & facility affiliations 1

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": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1477438612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR STE 1370",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684300",
            "telephone_number": "317-837-5566",
            "fax_number": "317-837-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR STE 1140",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684499",
            "telephone_number": "317-839-7200",
            "fax_number": "317-837-7926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5492 N Ronald Reagan Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Brownsburg",
            "state": "IN",
            "postal_code": "461125658",
            "country_code": "US",
            "telephone_number": "317-456-9050",
            "fax_number": "317-858-5348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8244 E US Highway 36 Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461239627",
            "country_code": "US",
            "telephone_number": "317-272-7500",
            "fax_number": "317-272-7515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLZHAUSEN",
        "first_name": "JACOB",
        "middle_name": "DANIEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71017179A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jholzhausen459701@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "1100 Southfield Dr Ste 1140",
            "city": "Plainfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461684499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.