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JACOB HERR
NPI 1063229003
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since December 13, 2024PECOS Enrolled
5230 E STOP 11 RD STE 250, INDIANAPOLIS, IN 46237(317) 528-8921(317) 528-6916 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2025, Apr 4, 2025, Dec 13, 2024 (3 updates tracked since 2024).

About Jacob Herr NPPES

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

JACOB HERR (NPI 1063229003) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11024319A) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063229003
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB HERR
Location Address5230 E STOP 11 RD STE 250Indianapolis, IN 46237-6399
Mailing AddressPo Box 781008Detroit, MI 48278-1008
Phone(317) 528-8921
Fax(317) 528-6916
Sole ProprietorNo
Enumeration DateDecember 13, 2024
Last NPPES UpdateJune 4, 20253 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1063229003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IN · 11024319A
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5230 E STOP 11 RD STE 250, Indianapolis, IN 46237
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Herr 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.

Other Providers at the Same Location NPPES 20

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

EMRE COSKUN DO
Student in an Organized Health Care Education/Training Program
5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN 46237
Marion County (317) 528-8921
CHRISTOPHER BRAKE
Student in an Organized Health Care Education/Training Program
5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN 46237
Marion County (317) 528-8921
TAYLOR OSBORN DO
Student in an Organized Health Care Education/Training Program
5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN 46237
Marion County (317) 528-8921
DR. EMILY LUGTHART DO
Student in an Organized Health Care Education/Training Program
5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN 46237
Marion County (317) 528-8921
KATHRYN PERRY
Student in an Organized Health Care Education/Training Program
5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN 46237
Marion County (317) 528-8921
NATHAN THOMAS CHOU DO
Student in an Organized Health Care Education/Training Program
5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN 46237
Marion County (317) 528-8921
JACOB MICHAEL HAMAKER DO
Student in an Organized Health Care Education/Training Program
5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN 46237
Marion County (317) 528-8921
BRITTANI M CORBISIERO D.O.
Pediatrics
5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN 46237
Marion County (317) 528-8921

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 Jacob Herr's NPI number?

The NPI number for Jacob Herr is 1063229003. It was assigned to this individual provider in the NPPES registry on December 13, 2024.

Where is Jacob Herr located?

Jacob Herr practices at 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237. The listed phone number is (317) 528-8921.

What is Jacob Herr's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Herr enrolled in Medicare?

Yes. Jacob Herr is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Herr was last updated on June 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.