Jeremy Keith Nivens, NP in Plainfield, IN - Medicare Nurse Practitioner

Jeremy Keith Nivens, NP is a medicare enrolled "Nurse Practitioner" in Plainfield, Indiana. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Optima Dermatology Llc and his current practice location is 1100 Southfield Dr Ste 1240, Plainfield, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 838-9911.

Jeremy Keith Nivens is licensed to practice in Indiana (license number 71005349A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780896431.

Contact Information

	Jeremy Keith Nivens, NP
	1100 Southfield Dr Ste 1240, Plainfield, IN 46168-4499
	(317) 838-9911
	(317) 837-6080

Map and Direction

Provider's Profile

Full Name	Jeremy Keith Nivens
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	1100 Southfield Dr Ste 1240, Plainfield, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeremy Keith Nivens graduated from nursing school in 2014

NPI Data:

NPI Number: 1780896431
Provider Enumeration Date: 05/04/2007
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 7113243726
Enrollment ID: I20150225002186

Medical Identifiers

Medical identifiers for Jeremy Keith Nivens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780896431	NPI	-	NPPES
201275730	Medicaid	IN
100270530A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28198910A (Indiana)	Secondary
363L00000X	Nurse Practitioner	71005349A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hendricks Regional Health	Danville, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optima Dermatology Llc	3971561648	47

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jeremy Keith Nivens allows following entities to bill medicare on his behalf.

Entity Name	Dermatology Center Of Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033199138 PECOS PAC ID: 0941386999 Enrollment ID: O20080401000053

Entity Name	Optima Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831187764 PECOS PAC ID: 3971561648 Enrollment ID: O20230823002407

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeremy Keith Nivens is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jeremy Keith Nivens, NP 111 New Hampshire Ave Ste 2, Portsmouth, NH 03801-2864 Ph: (802) 909-2053	Jeremy Keith Nivens, NP 1100 Southfield Dr Ste 1240, Plainfield, IN 46168-4499 Ph: (317) 838-9911

Reviews and Comments

Nurse Practitioner Nurses in Plainfield, IN

Bolaji Soji Ojo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 727 Moon Rd, Plainfield, IN 46168 Phone: 317-839-2513
Kimberly Eads, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Southfield Dr Ste 1240, Plainfield, IN 46168 Phone: 317-837-6082
Mrs. Mary Charlene Salmon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1930 E Main St, Plainfield, IN 46168 Phone: 317-838-3596
Jaspreet Dhaliwal, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Southfield Dr Ste 1140, Plainfield, IN 46168 Phone: 317-939-7200
Sarah Lawson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Southfield Dr Ste 1240, Plainfield, IN 46168 Phone: 317-838-9911 Fax: 317-837-6080
Jennifer Hummer White, AGPCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Southfield Drive, Suite 1240, Plainfield, IN 46168 Phone: 317-838-9311 Fax: 317-837-6080
Dana Leigh Fugate, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 727 Moon Rd, Plainfield, IN 46168 Phone: 317-839-2513

Jeremy Keith Nivens, NP - Medicare Nurse Practitioner in Plainfield, IN