Kristian Hale Jensen, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10002986A Issued in IN

Practice address

679 E County Line Rd
Greenwood, IN 46143-1049

Phone

(317) 890-2000

Fax

(317) 859-7220

NPI assigned

Jul 19, 2005

Last updated

Jan 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Wake Forest University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Urology of Indiana LLCGroup PAC ID 7517870009, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Indiana University Health Hospital, Indianapolis, IN, CCN 150056
• Franciscan Health Mooresville Hospital, Mooresville, IN, CCN 150057
• Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: urologyin@directaddress.net

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.

• Urology of Indiana L.L.C.

  • Urology Physician
  • Greenwood, IN
  • NPI 1487680518
  Medicare reassignment Care Compare group
• Urology of Indiana, L.L.C.

  • Customized Equipment (DME)
  • Indianapolis, IN
  • NPI 1740360379
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Carolina Specialty Oncology, PA

  • Urology Physician
  • Raleigh, NC
  • NPI 1477520088
  NPD (past)
• Urology Associates of Southeastern North Carolina, PA

  • Urology Physician
  • Southport, NC
  • NPI 1689342263
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franciscan Health Indianapolis & Mooresville

  dba Franciscan Health - Mooresville

  • General Acute Care Hospital
  • Mooresville, IN
  • NPI 1679678197
  Care Compare affiliation
• Indiana University Health Inc

  dba Indiana University Health

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1144266024
  Care Compare affiliation
• Johnson Memorial Hospital

  • General Acute Care Hospital
  • Franklin, IN
  • NPI 1346248986
  Care Compare affiliation
• Johnson Memorial Hospital

  dba JMH Immediate/Occupation Health

  • Occupational Medicine Clinic/Center
  • Franklin, IN
  • NPI 1679577357

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1942209184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-807-1266",
            "fax_number": "317-859-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-890-2000",
            "fax_number": "317-859-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KRISTIAN",
        "middle_name": "HALE",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085001335",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102163",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002986A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Urology of Indiana L.L.C.",
            "address_1": "679 E County Line Rd",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461431049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephany Lyn Jenkins, PT
• Jennifer Campbell LCSW, Lcac (campbell counseling)
• Jennifer Ingram Counseling (White River Family Services)
• Iymaani Jennings, RBT
• James Michael Jennings, MD
• Andrew Jeon
• Jessica Tomlinson Counseling LLC
• Tanvi Jhaveri
• Haoyuan Jiang, PH.D., L.AC.
• John P Jansen DDS LLC

• Physician Assistant in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.