Organization Active NPI

Jennifer Irene Wakeland Bigelow MD

Doing business as In His Hands Family Medicine LLC

  • Family Medicine Physician
  • Mooresville, IN
National Provider Identifier
1861937419
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01050867A Issued in IN
Legal business name
JENNIFER IRENE WAKELAND BIGELOW MD
Doing business as
In His Hands Family Medicine LLC
Practice address
461 Town Center St N
Mooresville, IN 46158-2316
Phone
(317) 584-3255
Fax
(317) 584-3259
NPI assigned
Jan 5, 2017
Last updated
Feb 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Dr. Jennifer Irene Wakeland Bigelow, MDNPI 1750363123
Title
Owner/President
Phone
(317) 584-3255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01050867A IN Primary
Obstetrics Physician 207VX0000X 01050867A IN

Addresses

Primary practice location

461 Town Center St N
Mooresville, IN 46158-2316

Mailing address

461 Town Center St N
Mooresville, IN 46158-2316
Phone (317) 584-3255

Other identifiers 1

IdentifierTypeStateIssuer
LPI200198850BMedicaidIN

Other names 1

  • In His Hands Family Medicine LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210922000829 IN Part B Supplier - Clinic/Group Practice 0345647194 Receives reassigned benefits from 1 practitioner
Practice locations: Mooresville, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2083220In His Hands Family Medicine461 Town Center Rd, Mooresville, IN 46158Certificate of waiverSep 1, 2026

National Provider Directory

National Provider Directory

Locations

461 N Town Center Rd
Mooresville, IN 46158
Phone (317) 584-3255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1861937419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 TOWN CENTER ST N",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582316",
            "telephone_number": "317-584-3255",
            "fax_number": "317-584-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 TOWN CENTER ST N",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582316",
            "telephone_number": "317-584-3255",
            "fax_number": "317-584-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER IRENE WAKELAND BIGELOW MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "BIGELOW",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "IRENE WAKELAND",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "317-584-3255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01050867A",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IN",
            "license": "01050867A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LPI200198850B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In His Hands Family Medicine LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.