Individual provider Active NPI

Joy L Jackson

  • Family Nurse Practitioner
  • Connersville, IN
National Provider Identifier
1962972265
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008578A Issued in IN
Practice address
1550 E State Road 44
Connersville, IN 47331-8293
Phone
(765) 222-1400
Fax
(855) 855-1498
NPI assigned
Nov 29, 2018
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 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 71008578A IN Primary

Addresses

Primary practice location

1550 E State Road 44
Connersville, IN 47331-8293

Mailing address

1550 E State Road 44
Connersville, IN 47331-8293
Phone (765) 222-1400

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210000249 IN Practitioner - Nurse Practitioner 0941544530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Centerstone Health Services IncGroup PAC ID 1850497173, 25 clinicians

Practice addresses (Care Compare)

645 S Rogers St
Suite a
Bloomington, IN 47403-2353
Phone (812) 269-5092

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71008578AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam County Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jjackson20438@carelonhealth.direct-ci.com
  • Direct secure messaging: joy.jackson.1@24341.direct.athenahealth.com

Organizations & group practices 3

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 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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1962972265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E STATE ROAD 44",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318293",
            "telephone_number": "765-222-1400",
            "fax_number": "855-855-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E STATE ROAD 44",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318293",
            "telephone_number": "765-222-1400",
            "fax_number": "855-855-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JOY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008578A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

Verify at the official NPI Registry.