Individual provider Active NPI

Jacqueline Sue Lenfestey, MSN, APRN, CNS

  • Family Nurse Practitioner
  • Mishawaka, IN
National Provider Identifier
1578689782
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002535A Issued in IN
Practice address
5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470
Phone
(574) 204-7803
NPI assigned
Mar 21, 2007
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinical Nurse Specialist 364SX0200X 71002535A IN
Family Nurse Practitioner 363LF0000X 71002535A IN Primary

Addresses

Primary practice location

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470

Mailing address

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470
Phone (574) 204-7803

Other names 1

  • Jacqueline Lenfestey-Demont Former name

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
I20070519000110 IN Practitioner - Certified Clinical Nurse Specialist (CNS) 1658478060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michiana Hematology-Oncology P CGroup PAC ID 3375513419, shared by 2 NPIs, 13 clinicians

Practice addresses (Care Compare)

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470
Phone (574) 237-1328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Michiana Hematology Oncology of Michigan, P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1578689782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 HOLY CROSS PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451470",
            "telephone_number": "574-204-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 HOLY CROSS PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451470",
            "telephone_number": "574-204-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENFESTEY",
        "first_name": "JACQUELINE",
        "middle_name": "SUE",
        "credential": "MSN, APRN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "IN",
            "license": "71002535A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002535A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "LENFESTEY-DEMONT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.