Individual provider Active NPI

Jacquelyn Danielle Tobey, MSN, FNP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1972016434
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007634A Issued in IN
Practice address
1801 N Senate Blvd Ste 4000
Indianapolis, IN 46202-1184
Phone
(317) 962-2500
Fax
(317) 962-2515
NPI assigned
Nov 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28179312A IN
Family Nurse Practitioner 363LF0000X 71007634A IN Primary

Addresses

Primary practice location

1801 N Senate Blvd Ste 4000
Indianapolis, IN 46202-1184

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JTOBEY@direct.iuhealth.org

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
I20171122000156 IN Practitioner - Nurse Practitioner 3173880408 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28179312AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc Family CurrentSince Dec 1, 2017 Accepting new patients
Indiana University Health, Inc CurrentSince Dec 1, 2017 Accepting new patients
Iu Health Medical Group, LLC Family CurrentSince Jul 1, 2025 Accepting new patients
Indiana Clinic-Neurology, LLC Past Accepting new patients
Indiana University Health North Hospital, Inc Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

2242 Reliable Pkwy
Chicago, IL 60686

5208 Reliable Pkwy
Chicago, IL 60686

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1801 Senate Blvd
Ste 4000
Indianapolis, IN 46202
Phone (317) 962-0500

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

Interoperability endpoints

  • Direct secure messaging: jtobey@direct.iuhealth.org

Organizations & group practices 6

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1972016434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N SENATE BLVD STE 4000",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021184",
            "telephone_number": "317-962-2500",
            "fax_number": "317-962-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBEY",
        "first_name": "JACQUELYN",
        "middle_name": "DANIELLE",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28179312A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007634A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JTOBEY@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1801 N Senate Blvd Ste 4000",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.