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JENELLE L JUSTAK D.O.
NPI 1356344766
Pediatrics in Newburgh, IN

Active since May 31, 2005PECOS Enrolled
4111 GATEWAY BLVD, NEWBURGH, IN 47630(812) 853-5300(812) 858-4660 Get Directions Write a Review

NPPES record last updated: July 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jenelle L Justak D.o. NPPES

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

JENELLE L JUSTAK D.O. (NPI 1356344766) is an individual pediatrics provider in Newburgh, Indiana, licensed in Indiana (02002672A) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356344766
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJENELLE L JUSTAKCredential: D.O.
Location Address4111 GATEWAY BLVDNewburgh, IN 47630-8954
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 853-5300 · Fax (812) 858-4660
Phone(812) 853-5300
Fax(812) 858-4660
Sole ProprietorNo
Enumeration DateMay 31, 2005
Last NPPES UpdateJuly 2, 2013
✔ NPI 1356344766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 02002672A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4111 GATEWAY BLVD, Newburgh, IN 47630
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Other Names 1

Former Name (1)Jenelle L Myres - Justak Md

Other Identifiers 5

Medicare UPINH94280IN
Medicaid200453490IN
Medicare PIN257900SSSSIN
Medicare PIN191410CIN
Other000000305337IN · Bcbs Pin

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 (PECOS)

Jenelle L Justak D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47630 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 8

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

JULIE A HURLOCK M.D.
Pediatrics
4111 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 853-5300
BARRY S PHILLIPS M.D.
Pediatrics
4111 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 853-5300
DEACONESS HOSPITAL, INC
Pediatrics
4111 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 853-5300
KRISTIN L KILGOUR N.P.
Nurse Practitioner
4111 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 853-5300
TERESA L MARTELLI
Pediatrics
4111 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 853-5300
DEACONESS HOSPITAL, INC
Clinical Nurse Specialist
4111 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 858-3051
MYLENE C BERNANTE PHARMD
Pharmacist
4111 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 858-2273
PAMELA JANE ROGERS M.D.
Pediatrics
4111 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 853-5300

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 Jenelle Justak's NPI number?

The NPI number for Jenelle Justak is 1356344766. It was assigned to this individual provider in the NPPES registry on May 31, 2005. The provider is also known as Jenelle L Myres - Justak MD.

Where is Jenelle Justak located?

Jenelle Justak practices at 4111 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 853-5300.

What is Jenelle Justak's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jenelle Justak enrolled in Medicare?

Yes. Jenelle Justak is registered in the Medicare PECOS enrollment system.

What insurance does Jenelle Justak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Jenelle Justak 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.

When was this NPI record last updated?

The NPPES record for Jenelle Justak was last updated on July 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.