JENNIFER VANDIVIER
NPI 1205506557
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN

Q: What is Jennifer Vandivier's NPI number?

The NPI number for Jennifer Vandivier is 1205506557. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Q: What is Jennifer Vandivier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 17, 2021PECOS EnrolledAccepts Medicare Assignment

8401 HARCOURT RD, INDIANAPOLIS, IN 46260(317) 338-4600 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2024, Sep 17, 2021 (2 updates tracked since 2021).

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About Jennifer Vandivier NPPES

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

JENNIFER VANDIVIER (NPI 1205506557) is an individual psychiatric/mental health provider in Indianapolis, Indiana, licensed in Indiana (71011539A) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205506557

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNIFER VANDIVIER

Location Address8401 HARCOURT RDIndianapolis, IN 46260-2036

Mailing Address8401 Harcourt RdIndianapolis, IN 46260-2036

Phone(317) 338-4600

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 17, 2021

Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1205506557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71011539A

8401 HARCOURT RD, Indianapolis, IN 46260

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Vandivier 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.

PECOS PAC ID9537566260

PECOS Enrollment IDI20210923001211

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150084

Location2001 W 86th StIndianapolis, IN 46260 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ELIZABETH J MALCOM LMHC

Counselor (Mental Health)