Individual provider Active NPI

Jessica Ebinger, MD

  • Obstetrics & Gynecology Physician
  • Fishers, IN
National Provider Identifier
1891107504
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01079854A Issued in IN
Practice address
13914 Southeastern Pkwy Ste 110
Fishers, IN 46037-7124
Phone
(317) 415-9010
NPI assigned
May 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X LL36830 SC
Obstetrics & Gynecology Physician 207V00000X 01079854A IN Primary

Addresses

Primary practice location

13914 Southeastern Pkwy Ste 110
Fishers, IN 46037-7124

Mailing address

13914 Southeastern Pkwy Ste 110
Fishers, IN 46037-7124

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.ebinger.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20180716002186 IN Practitioner - Obstetrics/Gynecology 9830489624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

13861 Olio Rd
Fishers, IN 46037-3487
Phone (317) 338-7136

13914 Southeastern Pkwy
Fishers, IN 46037-7124

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Obstetrics & Gynecology CurrentSince Jul 30, 2018 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 30, 2018 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2020 Meridian St
Ste 220
Anderson, IN 46016
Phone (765) 683-3158

13420 N Meridian St
Ste 300
Carmel, IN 46032
Phone (317) 582-7248

13914 Southeastern Pkwy
Ste 203A
Fishers, IN 46037
Phone (317) 415-9556

12708 E 116th St
Fishers, IN 46037
Phone (317) 415-5800

13914 Southeastern Pkwy
Ste 110
Fishers, IN 46037
Phone (317) 415-9010

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

Interoperability endpoints

  • Direct secure messaging: jessica.ebinger.1@7598.direct.athenahealth.com

Organizations & group practices 4

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": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1891107504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13914 SOUTHEASTERN PKWY STE 110",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13914 SOUTHEASTERN PKWY STE 110",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377124",
            "telephone_number": "317-415-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBINGER",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "LL36830",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01079854A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.ebinger.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "13914 Southeastern Pkwy Ste 110",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460377124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.