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Individual provider Active NPI

Megan Jackson

  • Family Nurse Practitioner
  • Kendallville, IN
National Provider Identifier
1952778375
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005959A Issued in IN
Practice address
410 N Sawyer Rd
Kendallville, IN 46755-2572
Phone
(260) 347-0977
Fax
(260) 347-8547
NPI assigned
Sep 2, 2015
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 71005959A IN Primary

Addresses

Primary practice location

410 N Sawyer Rd
Kendallville, IN 46755-2572

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other practice location 1

1701 Spring St Ste B
Jeffersonville, IN 47130-2930
Phone (812) 284-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151229000695 IN Practitioner - Nurse Practitioner 6305147851 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 Spring St
Suite B
Jeffersonville, IN 47130-2930
Phone (812) 284-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71005959AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC CurrentSince May 1, 2023 Accepting new patients
Total Care Family Practice Rick Bobay LLC Family CurrentSince Apr 13, 2022 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince May 1, 2023 Accepting new patients
Sound Physicians of Indiana, LLC Current Accepting new patients
Total Care Family Practice Rick Bobay LLC Family CurrentSince Apr 13, 2022 Accepting new patients
Parkview Health System Inc Family CurrentSince Dec 17, 2015 Accepting new patients
Transitions Health Network LLC Family Past Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210

1701 Spring St
Ste B
Jeffersonvlle, IN 47130
Phone (812) 284-2272

326 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-0434

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

4301 N Walnut St
Muncie, IN 47303
Phone (765) 282-0053

Organizations & group practices 7

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 5

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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1952778375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N SAWYER RD",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467552572",
            "telephone_number": "260-347-0977",
            "fax_number": "260-347-8547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Spring St Ste B",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471302930",
            "country_code": "US",
            "telephone_number": "812-284-2273",
            "fax_number": "812-284-2279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005959A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendallville, IN

Sources for this page

Verify at the official NPI Registry.