JACOB FLOYD KEULTJES MSN, FNP-C
NPI 1336830454
Nurse Practitioner - Family in Elkhart, IN

Q: What is Jacob Keultjes's NPI number?

The NPI number for Jacob Keultjes is 1336830454. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Q: What is Jacob Keultjes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Keultjes was last updated on February 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 18, 2023PECOS EnrolledAccepts Medicare Assignment

500 ARCADE AVE STE 320, ELKHART, IN 46514(574) 523-7900(574) 523-7909 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2026, Dec 2, 2025, Nov 15, 2023 and 2 more (5 updates tracked since 2023).

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About Jacob Floyd Keultjes Msn, Fnp-c NPPES

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

JACOB FLOYD KEULTJES MSN, FNP-C (NPI 1336830454) is an individual family provider in Elkhart, Indiana, licensed in Indiana (71014104A) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and maintains a secondary practice location in Elkhart.

NPPES Registry Identity

NPI1336830454

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJACOB FLOYD KEULTJESCredential: MSN, FNP-C

Location Address500 ARCADE AVE STE 320Elkhart, IN 46514-2477

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-2713

Phone(574) 523-7900

Fax(574) 523-7909

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 18, 2023

Last NPPES UpdateFebruary 3, 20265 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1336830454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71014104A

500 ARCADE AVE STE 320, Elkhart, IN 46514

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Secondary Practice Location 1

Location 1500 Arcade Ave Ste 300Elkhart, IN 46514-2486 · Phone (574) 389-7362 · Fax (574) 389-5612

Other Identifiers 1

Medicaid300083476IN

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

Jacob Floyd Keultjes Msn, Fnp-c 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 ID4082061437

PECOS Enrollment IDI20231107003416

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

25 services16 patients

Hospital Affiliations CMS Care Compare

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150018

Location600 E BlvdElkhart, IN 46514 · Elkhart County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 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.

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Other Providers at the Same Location NPPES 9

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

BRADLEY GORDAN DO

Surgery