Individual provider Active NPI

Tina Jaso, NP

  • Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1548922826
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71011800A Issued in IN
Practice address
13450 N Meridian St Ste 145
Carmel, IN 46032-1484
Phone
(317) 338-8788
NPI assigned
Oct 13, 2021
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71011800A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

13450 N Meridian St Ste 145
Carmel, IN 46032-1484

Mailing address

13450 N Meridian St Ste 145
Carmel, IN 46032-1484

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tina.jaso.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20211123001151 IN Practitioner - Nurse Practitioner 8426447905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

13450 N Meridian St
Suite 145
Carmel, IN 46032-1484
Phone (317) 338-4303

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011800AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Jul 5, 2024 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Nurse Practitioner CurrentSince Jul 5, 2024 Accepting new patients
Central Indiana-Amg Specialty Hospital, LLC CurrentSince Aug 15, 2024 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

13450 N Meridian St
Ste 145
Carmel, IN 46032
Phone (317) 338-4303

801 N State St
Fl 3
Greenfield, IN 46140
Phone (317) 447-6789

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8333 Naab Rd
Ste 200
Indianapolis, IN 46260
Phone (317) 338-4400

2401 W University Ave
Fl 5
Muncie, IN 47303
Phone (765) 282-8797

2401 W University Ave
Fl W
Muncie, IN 47303

101 La Rue France
Ste 500
Lafayette, LA 70508
Phone (337) 269-9566

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1548922826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13450 N MERIDIAN ST STE 145",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 N MERIDIAN ST STE 145",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321484",
            "telephone_number": "317-338-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASO",
        "first_name": "TINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71011800A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tina.jaso.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "13450 N Meridian St Ste 145",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460321484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.