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DR. JENNIFER LYNN HAVENER MD
NPI 1043420078
Pediatrics - Neonatal-Perinatal Medicine in Greenwood, IN

Active since May 22, 2007PECOS Enrolled
333 E COUNTY LINE RD STE B, GREENWOOD, IN 46143(317) 497-6333(317) 497-6334 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 10, 2020, Sep 19, 2019, Jul 11, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Jennifer Lynn Havener Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER LYNN HAVENER MD (NPI 1043420078) is an individual neonatal-perinatal medicine provider in Greenwood, Indiana, licensed in Indiana (01065231A) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043420078
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. JENNIFER LYNN HAVENERCredential: MD
Location Address333 E COUNTY LINE RD STE BGreenwood, IN 46143
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (317) 621-7547
Phone(317) 497-6333
Fax(317) 497-6334
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateNovember 27, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
✔ NPI 1043420078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IN · 01065231A
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 01065231A (IN)
333 E COUNTY LINE RD STE B, Greenwood, IN 46143
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18111 Township Line RdIndianapolis, IN 46260-2479 · Phone (317) 415-7921
Location 28150 Oaklandon Rd Ste 130Indianapolis, IN 46236-9554 · Phone (317) 621-1111 · Fax (317) 621-1110

Other Identifiers 1

Medicaid200913440IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Lynn Havener Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Havener reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Physicians Of Indiana Inc
18 mi
Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
NPI 1619105244 (317) 355-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINESH DINESH RAJKOTIA M.D.
Family Medicine
333 E COUNTY LINE RD STE B
GREENWOOD, IN 46143
Johnson County (317) 497-6333
HALEIGH ANN THARP
Nurse Practitioner (Family)
333 E COUNTY LINE RD STE B
GREENWOOD, IN 46143
Johnson County (317) 497-6333
MELISSA MARIE MICHELS MD
Pediatrics
333 E COUNTY LINE RD STE B
GREENWOOD, IN 46143
Johnson County (317) 497-6333
ANNA CHRISTINE HIMES NP
Nurse Practitioner (Family)
333 E COUNTY LINE RD STE B
GREENWOOD, IN 46143
Johnson County (317) 497-6333
LORI CHRISTINE BONILLA FNP-C
Nurse Practitioner (Primary Care)
333 E COUNTY LINE RD STE B
GREENWOOD, IN 46143
Johnson County (317) 497-6333
TAYLOR BACHERT
Family Medicine
333 E COUNTY LINE RD STE B
GREENWOOD, IN 46143
Johnson County (317) 497-6333
ASHANTA DOMONIQUE COLEMEN PHARMD
Pharmacist (Ambulatory Care)
333 E COUNTY LINE RD STE B
GREENWOOD, IN 46143
Johnson County (317) 887-7333
MIRANDA CLARK FNP-C
Nurse Practitioner (Family)
333 E COUNTY LINE RD STE B
GREENWOOD, IN 46143
Johnson County (317) 497-6371

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Havener's NPI number?

The NPI number for Jennifer Havener is 1043420078. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Jennifer Havener located?

Jennifer Havener practices at 333 E County Line Rd Ste B, Greenwood, IN 46143. The listed phone number is (317) 497-6333.

What is Jennifer Havener's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Jennifer Havener enrolled in Medicare?

Yes. Jennifer Havener is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Havener's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Havener reassigns Medicare benefits to Community Physicians Of Indiana Inc (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Havener's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Havener accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennifer Havener as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Havener was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.