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MANUEL D JONES NP
NPI 1326639360
Nurse Practitioner - Family in Munster, IN

Active since February 02, 2021PECOS EnrolledAccepts Medicare Assignment
7905 CALUMET AVE, MUNSTER, IN 46321(219) 836-3049(219) 836-7295 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2023, Jul 28, 2021, May 3, 2021 and 1 more (4 updates tracked since 2021).

About Manuel D Jones Np NPPES

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

MANUEL D JONES NP (NPI 1326639360) is an individual family provider in Munster, Indiana, licensed in Indiana (71010985A) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Dyer, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326639360
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMANUEL D JONESCredential: NP
Location Address7905 CALUMET AVEMunster, IN 46321-2549
Mailing AddressPo Box 781076Detroit, MI 48278-7241 · (317) 528-4800 · Fax (317) 865-1479
Phone(219) 836-3049
Fax(219) 836-7295
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 2, 2021
Last NPPES UpdateMay 11, 20234 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1326639360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71010985A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 28187169A (IN)
7905 CALUMET AVE, Munster, IN 46321
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1101 W 61st AveHobart, IN 46342-6449 · Phone (219) 945-9830
Location 212800 Mississippi Pkwy Ste B100Crown Point, IN 46307-6901 · Phone (219) 662-5700

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

Manuel D Jones 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.

PECOS PAC ID3870902810
PECOS Enrollment IDI20210504002032
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
158 services92 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services21 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150090
Location24 Joliet StDyer, IN 46311 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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.

FARDAD MASSOUMI BAVIL MD
Family Medicine
7905 CALUMET AVE
MUNSTER, IN 46321
Lake County (219) 836-3049
JUDITH D NUEROS PT
Physical Therapist
7905 CALUMET AVE, FRANCISCAN HAMMOND CLINIC LLC
MUNSTER, IN 46321
Lake County (219) 836-5800
DR. OLAYEMI O CHAMPION-ODUSOLA M.D.
Family Medicine
7905 CALUMET AVE
MUNSTER, IN 46321
Lake County (219) 836-5800
BRETT ALLEN MILKEVITCH FNP
Nurse Practitioner (Family)
7905 CALUMET AVE
MUNSTER, IN 46321
Lake County (219) 836-5800
DR. MARY D FUGETT DO
Family Medicine
7905 CALUMET AVE
MUNSTER, IN 46321
Lake County (219) 836-5800
DR. THOMAS A BRUBAKER M.D.
Internal Medicine
7905 CALUMET AVE
MUNSTER, IN 46321
Lake County (219) 836-7214
SAMEEA A CHUGHTAI DO
Family Medicine
7905 CALUMET AVE, FRANCISCAN HAMMOND CLINIC LLC
MUNSTER, IN 46321
Lake County (219) 836-5800
DR. DONALD E. STORK D.O.
Family Medicine
7905 CALUMET AVE, HAMMOND CLINIC LLC
MUNSTER, IN 46321
Lake County (219) 836-7214

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 Manuel Jones's NPI number?

The NPI number for Manuel Jones is 1326639360. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Manuel Jones located?

Manuel Jones practices at 7905 Calumet Ave, Munster, IN 46321. The listed phone number is (219) 836-3049.

What is Manuel Jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Manuel Jones enrolled in Medicare?

Yes. Manuel Jones 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.

What insurance does Manuel Jones accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Manuel Jones 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.

Is Manuel Jones affiliated with any hospitals?

According to CMS data, Manuel Jones is affiliated with Franciscan Health Dyer, Community Hospital, Franciscan Health Crown Point and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Manuel Jones was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.