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: October 18, 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 maintains a secondary practice location in Lafayette.

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 ↗

Secondary Practice Location 1

Location 1415 N 26th St Ste 102Lafayette, IN 47904-2855 · Phone (765) 446-6562

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Vandivier reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Vincent Hospital & Health Care Center, Inc.

Same address

Psychiatry

8401 HARCOURT RD
Indianapolis, IN 46260

Reassigned Medicare billing, Indiana enrollment
99 clinicians in this Medicare group

NPI 1689869893 (317) 338-4600

Mending Minds, LLC

1.3 mi

Psychiatry

1311 W 96TH ST STE 110
Indianapolis, IN 46260

Reassigned Medicare billing, Indiana enrollment
21 clinicians in this Medicare group

NPI 1780258798 (317) 876-3699

Valley Oaks Health Inc

50 mi

Mental Health (Including Community Mental Health Center)

415 N 26TH STREET, SUITE 201
Lafayette, IN 47904

Reassigned Medicare billing, Indiana enrollment
93 clinicians in this Medicare group

NPI 1689629990 (765) 446-6535

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

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)