Jacquelyn Raquel Adley, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71004271A Issued in IN

Practice address

10012 Calumet Ave Ste a
Munster, IN 46321-4055

Phone

(219) 227-5119

Fax

(219) 227-5190

NPI assigned

Dec 26, 2012

Last updated

Apr 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

GN Endocrinology LTDGroup PAC ID 3779891494, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Munster, IN, CCN 150125
• Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
• St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008
• Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• GN Endocrinology LTD

  • Endocrinology, Diabetes & Metabolism Physician
  • Munster, IN
  • NPI 1154799690
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Stroke and Rehabilitation Center Inc

  dba Powers Health Rehabilitation Center

  • Rehabilitation Hospital
  • Crown Point, IN
  • NPI 1801301437

  Inpatient rehabilitation facility

  Care Compare affiliation
• Franciscan Health Crown Point

  • General Acute Care Hospital
  • Crown Point, IN
  • NPI 1336205798
  Care Compare affiliation
• Munster Medical Research Foundation Inc

  dba Community Hospital

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1003918210
  Care Compare affiliation
• St Catherine Hospital Inc

  • General Acute Care Hospital
  • East Chicago, IN
  • NPI 1689776882
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744502400000",
    "number": "1487990230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 GATES DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463756014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 CALUMET AVE STE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214055",
            "telephone_number": "219-227-5119",
            "fax_number": "219-227-5190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2272 N Main St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463071802",
            "country_code": "US",
            "telephone_number": "219-286-4518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADLEY",
        "first_name": "JACQUELYN",
        "middle_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2025-04-13",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004271A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Active Day in, Inc. (Active Day of Munster)
• Sara B. Adams
• Vijay Krishna Adavelly, P.T.
• Anna Ejuile Adekugbe, M.D
• John M Adlard, MD
• Adult and Pediatric Eye Specialists Corp
• Advanced Care Medical Specialists, P.C.
• Advanced Health Services, Inc. (Advanced Health)
• Advanced Neuropsychiatric Services of Northwest Indiana, LLC
• Advanced Pain Treatment of Chicago SC

• Family Nurse Practitioner in Munster, IN
• Providers in Munster, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2025; 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.

Verify at the official NPI Registry.