Mary Anna Jansen, M.D.
Individual provider Active NPI Family Medicine Physician · Aurora, IN
NPI 1972890481 · NPPES record last updated Nov 21, 2025
Key facts
- NPI
- 1972890481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01073032A (IN)
- Practice address
- 112 Links Way
Aurora, IN 47001-1403 - Phone
- (812) 926-3133
- Fax
- (812) 926-1668
- NPI assigned
- Jul 5, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
112 Links Way
St. Elizabeth Physicians
Aurora, IN 47001-1403
Phone (812) 926-3133
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Dearborn Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131118000395 | IN | Practitioner - Family Practice | 8628204807 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2501 | KY | MD | Family Medicine Physician |
| 01073032A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Family Medicine | Current | Accepting new patients |
Locations
2300 Chamber Center Dr
Ste 200
Lakeside Park, KY 41017
Phone (859) 212-0039
Interoperability endpoints
- mjansen153136@direct-prd.stelizabeth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01073032A | IN | Yes |
| Family Medicine Physician | 207Q00000X | R2501 | KY |
Addresses
Primary practice location
112 Links Way
Aurora, IN 47001-1403
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (812) 926-3133
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201185890 | Medicaid | IN |
Other providers in Aurora, IN
- Jon Philip Hautzenroeder
- Hook-Superx LLC
- Melissa Hughes
- Amy Marie Hummel
- Lori Ann James
- Jarman Orthopedics, P.C.
- Jarman Orthopedics, P.C.
- Jayme E Kelly
- Carin Kettman
- Elizabeth A King
All providers in Aurora, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.