Individual provider Active NPI

Jon Mikal Hoversland, MD

  • Obstetrics & Gynecology Physician
  • Muncie, IN
National Provider Identifier
1699822320
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01063658A Issued in IN
Practice address
100 N Tillotson Ave
Muncie, IN 47304-3987
Phone
(765) 288-8770
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01063658A IN Primary

Addresses

Primary practice location

100 N Tillotson Ave
Muncie, IN 47304-3987

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070702000574 IN Practitioner - Obstetrics/Gynecology 0143320259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Health Services CorpGroup PAC ID 5597679845, 78 clinicians

Practice addresses (Care Compare)

100 N Tillotson Ave
Muncie, IN 47304-3987
Phone (765) 288-1928

Hospital & facility affiliations

  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01063658AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp CurrentSince Jan 12, 2022 Accepting new patients
Womans Healthcare Associates PC Obstetrics & Gynecology CurrentSince Sep 1, 2014 Accepting new patients
Womans Healthcare Associates, P.C. Obstetrics & Gynecology CurrentSince Sep 1, 2014 Accepting new patients
Meridian Health Services Corp. CurrentSince Jan 12, 2022 Accepting new patients
Meridian Health Services Corp Past Accepting new patients
Meridian Health Services Corp Past Accepting new patients
Meridian Health Services Corp Past Accepting new patients

Locations

1547 Ohio Ave
Anderson, IN 46016
Phone (765) 552-3188

2785 Cason St
Lafayette, IN 47904
Phone (765) 237-9935

2316 South St
Lafayette, IN 47904
Phone (765) 447-6969

3920 St Francis Way
Ste 100
Lafayette, IN 47905
Phone (765) 428-5800

3920 St Francis Way
Ste 110
Lafayette, IN 47905
Phone (765) 428-5800

100 N Tillotson Ave
Muncie, IN 47304
Phone (765) 288-8770

240 N Tillotson Ave
Muncie, IN 47304

3620 W White River Blvd
Ste 2
Muncie, IN 47304

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

930 N 14th St
New Castle, IN 47362
Phone (317) 741-0300

Interoperability endpoints

  • Direct secure messaging: jon.hoversland.p1@direct.meridianhs.nextgenshare.com

Organizations & group practices 7

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1699822320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043987",
            "telephone_number": "765-288-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVERSLAND",
        "first_name": "JON",
        "middle_name": "MIKAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01063658A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.