Refuge Clinic, LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

REFUGE CLINIC, LLC

Practice address

9150 E 109TH Ave Ste 2B
Crown Point, IN 46307-7686

Phone

(219) 213-2947

Fax

(219) 310-8175

NPI assigned

Aug 25, 2025

Organization subpart

Yes

Parent organization

NWI MDVIP LLCAs reported in NPPES

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

Authorized official

Name

Dr. Brent Jacobus, DONPI 1902807589

Title

Owner Physician

Phone

(219) 306-0752

Specialties & licenses 1

Addresses

Part of

Nwi Mdvip LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Nwi Mdvip LLC

  • Family Medicine Physician
  • Crown Point, IN
  • NPI 1538877972
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent A Jacobus, D.O.

  • Family Medicine Physician
  • Crown Point, IN
  • NPI 1902807589
  NPD Authorized official

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1548148752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 E 109TH AVE STE 2B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077686",
            "telephone_number": "219-213-2947",
            "fax_number": "219-310-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 E 109TH AVE STE 2B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077686",
            "telephone_number": "219-213-2947",
            "fax_number": "219-310-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUGE CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NWI MDVIP LLC",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "JACOBUS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "219-306-0752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Reardon, FNP
• Christina L Reasoner, OTR
• William Reed
• Maureen R Reel, MSW, LCSW
• Kathleen Reese
• Rehabtech DME
• Lisa Marie Reick, PTA
• Averyl Reid, MA, QMHP
• Sydney Reinhart
• Brooke Reising, NP

• Addiction Medicine (Family Medicine) Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Addiction Medicine (Family Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.