Individual provider Active NPI

Kochurani Jacob Thomas, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Clarksville, IN
National Provider Identifier
1699315531
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71012400A Issued in IN
Practice address
517 Little League Blvd
Clarksville, IN 47129-6629
Phone
(812) 282-8406
NPI assigned
Jan 8, 2020
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71012400A IN Primary
Primary Care Nurse Practitioner 363LP2300X F12190904 KY

Addresses

Primary practice location

517 Little League Blvd
Clarksville, IN 47129-6629

Mailing address

517 Little League Blvd
Clarksville, IN 47129-6629
Phone (812) 282-8406

Other identifiers 1

IdentifierTypeStateIssuer
14532OtherACS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL asc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210107000802 KY Practitioner - Nurse Practitioner 7214340496 Reassigns benefits to 5 organizations
I20220324001799 IN Practitioner - Nurse Practitioner 7214340496 Reassigns benefits to 4 organizations
I20251028000846 MI Practitioner - Nurse Practitioner 7214340496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Clark Medical Group LLCGroup PAC ID 3971879354, 21 clinicians
Zilmed LLCGroup PAC ID 9133465941, 3 clinicians
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

1802 E 10TH St
Jeffersonville, IN 47130-6016
Phone (502) 244-9859

2700 Vissing Park Rd
Jeffersonville, IN 47130-5989
Phone (812) 246-9809

3032 Alvey Park Dr W
Suite 400
Owensboro, KY 42303-2191
Phone (800) 683-8313

645 S Roy Wilkins Ave
Suite 200
Louisville, KY 40203-2072
Phone (502) 244-9859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
F12190904KYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Multi-Specialty CurrentSince Feb 3, 2025 Accepting new patients
Psychplus Associates of Michigan, PLLC Multi-Specialty CurrentSince Oct 21, 2025 Accepting new patients
Recover Together, LLC Multi-Specialty CurrentSince May 1, 2022 Accepting new patients
North Clark Medical Group LLC Multi-Specialty CurrentSince Aug 10, 2023 Accepting new patients
Psychplus Medical Associates, PLLC Multi-Specialty CurrentSince Feb 3, 2025 Accepting new patients
Psychplus Medical Associates of Michigan, PLLC Multi-Specialty CurrentSince Oct 21, 2025 Accepting new patients
Zilmed, Inc. Multi-Specialty PastSince Jan 1, 2015 Accepting new patients

Locations

2100 Market St
Ste 101
Charlestown, IN 47111
Phone (812) 503-5100

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338

1802 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 893-7744

1804 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 553-0810

277 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 435-0888

1211 W Broadway
Ste A
Louisville, KY 40203
Phone (502) 233-3290

202 E Market St
Louisville, KY 40202

645 S Roy Wilkins Ave
#200
Louisville, KY 40203
Phone (502) 561-0520

680 S 4th St
Louisville, KY 40202
Phone (502) 596-6063

950 Breckenridge Ln
Ste 120
Louisville, KY 40207

9616 Dixie Hwy
Louisville, KY 40272
Phone (502) 933-6400

3032 Alvey Park Dr W
Ste 400
Owensboro, KY 42303
Phone (606) 393-6695

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000

290 Town Center Dr
Ste 141
Dearborn, MI 48126

5901 Chase Rd
Ste 210
Dearborn, MI 48126
Phone (313) 945-6650

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 8

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1699315531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 LITTLE LEAGUE BLVD",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471296629",
            "telephone_number": "812-282-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 LITTLE LEAGUE BLVD",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471296629",
            "telephone_number": "812-282-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KOCHURANI",
        "middle_name": "JACOB",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71012400A",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "F12190904",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS",
            "identifier": "14532",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "asc",
            "affiliation": "N",
            "address_1": "517 Little League Blvd",
            "city": "Clarksville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471296629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.