JAY LEE HOEKSEMA NP
NPI 1124625926
Nurse Practitioner - Family in Peru, IN
About Jay Lee Hoeksema Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAY LEE HOEKSEMA NP (NPI 1124625926) is an individual family provider in Peru, Indiana, licensed in Indiana (71010433A) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jay Lee Hoeksema Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jay Hoeksema reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Emergency Professionals Of Indiana PC
- 404 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 63 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital
Acute Care Hospitals · Logansport, INDukes Memorial Hospital
Critical Access Hospitals · Peru, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46970 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PERU, IN 46970
PERU, IN 46970
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 Jay Hoeksema's NPI number?
The NPI number for Jay Hoeksema is 1124625926. It was assigned to this individual provider in the NPPES registry on October 5, 2020.
Where is Jay Hoeksema located?
Jay Hoeksema practices at 661 E Main St, Peru, IN 46970. The listed phone number is (765) 472-2519.
What is Jay Hoeksema's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jay Hoeksema enrolled in Medicare?
Yes. Jay Hoeksema is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jay Hoeksema's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jay Hoeksema reassigns Medicare benefits to 2 organizations: Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN) and Inphynet Primary Care Physicians Midwest, S.C. (Fort Wayne, IN). Each 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 Jay Hoeksema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jay Hoeksema affiliated with any hospitals?
According to CMS data, Jay Hoeksema is affiliated with Memorial Hospital and Dukes Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jay Hoeksema was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Jay Lee Hoeksema, NP · NPI 1124625926
Family physician in Peru, Indiana. Individual provider, active in the CMS NPPES registry since October 5, 2020.
## Identity
- **NPI:** 1124625926 (Entity type: Individual)
- **Enumerated:** October 5, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71010433A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 661 E MAIN ST, Peru, IN 46970-2662
- **Phone:** (765) 472-2519 · **Fax:** (765) 400-4465
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emergency Professionals Of Indiana, P.C. (NPI 1013951219, Fort Wayne, IN); Inphynet Primary Care Physicians Midwest, S.C. (NPI 1528090610, Fort Wayne, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 1, 2026
- **Other identifiers:** Other 71010433B (IN); Other 28160280A (IN); Other 71010433A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1124625926) · Data from the CMS NPPES public registry.