Individual provider Active NPI

Jessie Lee Myers, FNP

  • Family Nurse Practitioner
  • Kokomo, IN
National Provider Identifier
1942677943
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005750A Issued in IN
Practice address
2312 S Dixon Rd Ste 240
Kokomo, IN 46902-6401
Phone
(317) 890-2000
NPI assigned
Aug 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71005750A IN Primary

Addresses

Primary practice location

2312 S Dixon Rd Ste 240
Kokomo, IN 46902-6401

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 890-2000

Other names 1

  • Jessie Lee Farris Former name

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: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151023000570 IN Practitioner - Nurse Practitioner 5496064966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Metropolitan Park Dr
Suite 100
Liverpool, NY 13088-7112

2345 E Lincoln Rd
Kokomo, IN 46902-8012

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71005750AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Indiana L.L.C. CurrentSince Nov 15, 2024 Accepting new patients
Kokomo Urology Inc. CurrentSince Jan 29, 2024 Accepting new patients
Urology of Indiana, L.L.C. CurrentSince Nov 15, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

11380 Illinois St
Carmel, IN 46032
Phone (317) 807-1262

14300 E 138th
Ste A
Fishers, IN 46037
Phone (317) 813-1660

679 E County Line Rd
Greenwood, IN 46143
Phone (317) 807-1262

1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095

2345 W Lincoln Rd
Kokomo, IN 46902
Phone (317) 457-4075

2312 S Dixon Rd
Ste 240
Kokomo, IN 46902
Phone (765) 455-4075

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

Interoperability endpoints

  • Direct secure messaging: jessie.myers@kokomourology.directbygreenway.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 2

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1942677943",
    "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": "317-890-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 S DIXON RD STE 240",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026401",
            "telephone_number": "317-890-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JESSIE",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005750A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "FARRIS",
            "middle_name": "LEE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.