Jason Soultz, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71008585A Issued in IN

Practice address

2340 E 10TH St
Indianapolis, IN 46201-2008

Phone

(317) 957-2200

NPI assigned

Sep 8, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Mobile MD LLCGroup PAC ID 1052617826, 27 clinicians

My Mobile MD Indiana LLCGroup PAC ID 9830607605, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Purposecare of Indiana Home health agency, Indianapolis, IN, CCN 157252
• Riverview Health Hospital, Noblesville, IN, CCN 150059
• Community Hospital North Hospital, Indianapolis, IN, CCN 150169

Merit-based Incentive Payment System (MIPS)

Final score

12.16 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

40.52

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• My Mobile MD Indiana LLC

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1912898321
  Medicare reassignment Care Compare group NPD
• My Mobile MD LLC

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1225495716
  Medicare reassignment Care Compare group NPD
• Little Clinic of in LLC

  • Family Nurse Practitioner
  • Floyds Knobs, IN
  • NPI 1558791384
  Medicare reassignment NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alliance Home Health Services LLC

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1043293814
  Care Compare affiliation
• Community Health Network, Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1619163854
  Care Compare affiliation
• Riverview Hospital

  • General Acute Care Hospital
  • Noblesville, IN
  • NPI 1700883717
  Care Compare affiliation

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1669955449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034744",
            "telephone_number": "317-957-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462012008",
            "telephone_number": "317-957-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULTZ",
        "first_name": "JASON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-08",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008585A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300021150",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pedro Soto
• Julianne Manzo Sotomil, DMD, MSD
• Andrew Souder, PTA
• Soul Trine
• Soulcare Medical Transport, LLC
• Sound Choice Hearing Center
• Sound Choice Hearing Center Inc
• Esther Paula Soundar, M.D
• Source One Medical Inc
• John Michal Sours Jr., MD

• Family Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.

Verify at the official NPI Registry.