Individual provider Active NPI

Lindsey Jaco, PA

  • Physician Assistant
  • Newburgh, IN
National Provider Identifier
1760244552
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4011 Gateway Blvd Ste 100
Newburgh, IN 47630-8947
Phone
(812) 858-2100
NPI assigned
Jan 26, 2024
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

4011 Gateway Blvd Ste 100
Newburgh, IN 47630-8947

Mailing address

PO Box 631767
Cincinnati, OH 45263-1767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240409003496 IN Practitioner - Physician Assistant 2062850076 Reassigns benefits to 1 organization
I20240717002698 KY Practitioner - Physician Assistant 2062850076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, shared by 10 NPIs, 411 clinicians

Practice addresses (Care Compare)

120 SE 4TH St
Evansville, IN 47708-1607
Phone (812) 426-6645

1700 US Hwy 60 W
Morganfield, KY 42437-6242
Phone (270) 389-0031

2242 US Hwy 41 N
Henderson, KY 42420-2375
Phone (270) 844-8515

2622 Menards Dr
Evansville, IN 47715-8075
Phone (812) 450-2622

3150 Warrick Dr
Boonville, IN 47601-8602
Phone (812) 858-3355

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 490-4570

421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645

4506 1St Ave
Evansville, IN 47710-3624
Phone (812) 428-6161

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinc Inc CurrentSince Apr 1, 2024 Accepting new patients
Deaconess Clinic Inc Physician Assistant CurrentSince Apr 1, 2024 Accepting new patients
Deaconess Clinic, Inc. Physician Assistant CurrentSince Apr 1, 2024 Accepting new patients
Deaconess Clinic, Inc Past Accepting new patients

Locations

3150 Warrick Dr
Boonville, IN 47601
Phone (812) 450-6430

120 SE 4th St
Evansville, IN 47708
Phone (812) 426-6638

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4506 N 1st Ave
Ste 2
Evansville, IN 47710

545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264

4011 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 858-2100

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1414 W Broadway St
Princeton, IN 47670
Phone (812) 385-5283

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1760244552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631767",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 GATEWAY BLVD STE 100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947",
            "telephone_number": "812-858-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACO",
        "first_name": "LINDSEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.