Active NPI
Jazmine Boyd, FNP
- Pediatric Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 71010814A
- Practice address
- 705 Riley Hospital Dr
Roc 4340
Indianapolis, IN 46202-5109 - Phone
- (317) 944-2143
- Fax
- (317) 944-3107
- NPI assigned
- Jan 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 71010814A | IN | Primary |
Addresses
Primary practice location
705 Riley Hospital Dr
Roc 4340
Indianapolis, IN 46202-5109
Mailing address
PO Box 1026
Indianapolis, IN 46206-1026
Phone (317) 944-2143
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210224000944 | IN | Practitioner - Nurse Practitioner | 8921413931 | Reassigns benefits to 2 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
- University Pediatric Associates IncIu Health Medical Group LLC
Practice addresses (Care Compare)
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (317) 944-5000
Hospital & facility affiliations
- Indiana University Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71010814A | IN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University Pediatric Associates, Inc. | Current | Accepting new patients |
Locations
1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000
4935 W Arlington Rd
Bloomington, IN 47404
Phone (812) 353-3743
11725 Illinois St
Ste 240
Carmel, IN 46032
Phone (317) 814-4590
11590 N Meridian St
Ste 300
Carmel, IN 46032
Phone (317) 944-8906
11725 Illinois St
Ste 450
Carmel, IN 46032
Phone (317) 688-5700
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
705 Riley Hospital Dr
#4340
Indianapolis, IN 46202
Phone (317) 944-2143
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
575 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 944-3966
8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
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 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": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1629667183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1026",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462061026",
"telephone_number": "317-944-2143",
"fax_number": "317-944-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 RILEY HOSPITAL DR",
"address_2": "ROC 4340",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025109",
"telephone_number": "317-944-2143",
"fax_number": "317-944-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "JAZMINE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IN",
"license": "71010814A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.