Individual provider Active NPI

Jodi Linn Keith, FNP

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1649981671
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015055A Issued in IN
Practice address
11780 US Highway 1 Ste N107
Palm Beach Gardens, FL 33408-3007
Phone
(812) 260-3808
Fax
(513) 880-0844
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71015055A IN Primary

Addresses

Primary practice location

11780 US Highway 1 Ste N107
Palm Beach Gardens, FL 33408-3007

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other practice location 1

958 IN 46 East
Batesville, IN 47006
Phone (812) 260-3808

Other practice location 2

12803 Lenover St
Dillsboro, IN 47018-9418
Phone (812) 260-3808

Other practice location 3

404 Rio Vista Lane
Rising Sun, IN 47040
Phone (812) 260-3808

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
I20240416002745 IN Practitioner - Nurse Practitioner 4587034038 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians

Practice addresses (Care Compare)

150 W Market St
Suite 400
Indianapolis, IN 46204-2810
Phone (855) 743-2247

8398 Mississippi St
FL 2
Merrillville, IN 46410-6316
Phone (855) 743-2247

Hospital & facility affiliations

  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Wholehealth Midwest Inc CurrentSince Apr 1, 2024 Accepting new patients
Extended Care Specialists, Inc Family CurrentSince Apr 1, 2024 Accepting new patients
Eventus Ecs, Inc CurrentSince Dec 19, 2024 Accepting new patients
Eventus WH Midwest Care, LLC CurrentSince Oct 1, 2025 Accepting new patients
Eventus Ecs - Kentucky, PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

2100 Midway St
Columbus, IN 47201
Phone 3178181240225

3512 Stellhorn Rd
Fort Wayne, IN 46815

3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479

150 W Market St
Ste 400
Indianapolis, IN 46204

8398 Mississippi St
Fl 2
Merrillville, IN 46410

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 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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1649981671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11780 US HIGHWAY 1 STE N107",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334083007",
            "telephone_number": "812-260-3808",
            "fax_number": "513-880-0844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "958 IN 46 East",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "IN",
            "postal_code": "47006",
            "country_code": "US",
            "telephone_number": "812-260-3808",
            "fax_number": "513-880-0844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12803 Lenover St",
            "address_purpose": "LOCATION",
            "city": "Dillsboro",
            "state": "IN",
            "postal_code": "470189418",
            "country_code": "US",
            "telephone_number": "812-260-3808",
            "fax_number": "513-880-0844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 Rio Vista Lane",
            "address_purpose": "LOCATION",
            "city": "Rising Sun",
            "state": "IN",
            "postal_code": "47040",
            "country_code": "US",
            "telephone_number": "812-260-3808",
            "fax_number": "513-880-0844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "JODI",
        "middle_name": "LINN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015055A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.