Jennifer Ann Madlem, FNP, MSN, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71001526A Issued in IN

Practice address

209 Florence Ave
Granger, IN 46530-8048

Phone

(574) 246-1000

Fax

(574) 246-4000

NPI assigned

Nov 17, 2006

Last updated

Apr 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Saint Joseph Community Hospital of Mishawaka

  dba Healthy Family Center

  • Multi-Specialty Clinic/Center
  • Mishawaka, IN
  • NPI 1235202573
  NPD (past)
• Saint Joseph Regional Medical Center-South Bend Campus, Inc.

  • General Acute Care Hospital
  • Mishawaka, IN
  • NPI 1841245594
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1750455473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63501 BEECH RD",
            "city": "WAKARUSA",
            "state": "IN",
            "postal_code": "465739643",
            "telephone_number": "574-633-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 FLORENCE AVE",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308048",
            "telephone_number": "574-246-1000",
            "fax_number": "574-246-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADLEM",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001526A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001526A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200425160",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luminary Hospice of South Bend, LLC (Luminary Hospice)
• Fred Luster, MPT
• Luxottica Retail North America Inc (Target Optical #4305)
• Thomas Patrick Lynch
• James V Macri, D.D.S., M.S.D.
• Dawn Marie Mahaffey, FNP
• Naina Mahngar, M.D.
• Michelle Mai
• Major Hospital (Belltower Health & Rehabilitation Center)
• Abner Mantoo, PHYSICAL THERAPIST

• Family Nurse Practitioner in Granger, IN
• Providers in Granger, 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 Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.