JENELLE L JUSTAK D.O.
NPI 1356344766
Pediatrics in Newburgh, IN
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
Specialties & Licenses
Other Names 1
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jenelle L Justak D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jenelle Justak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newburgh, IN 47630
- Reassigned Medicare billing, Indiana enrollment
- 444 clinicians in this Medicare group
Evansville, IN 47714
- Reassigned Medicare billing, Indiana enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Jenelle Justak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenelle Justak reassigns Medicare benefits to 2 organizations: Deaconess Clinic, Inc (Newburgh, IN) and Echo Community Health Care, Inc. (Evansville, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenelle Justak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Jenelle L Justak, D.O. · NPI 1356344766
Pediatrics physician in Newburgh, Indiana. Individual provider, active in the CMS NPPES registry since May 31, 2005.
## Identity
- **NPI:** 1356344766 (Entity type: Individual)
- **Enumerated:** May 31, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 02002672A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 4111 GATEWAY BLVD, Newburgh, IN 47630-8954
- **Phone:** (812) 853-5300 · **Fax:** (812) 858-4660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Deaconess Clinic, Inc (NPI 1356577985, Newburgh, IN); Echo Community Health Care, Inc. (NPI 1770875973, Evansville, IN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2013
- **Other identifiers:** Medicare UPIN H94280 (IN); Medicaid 200453490 (IN); Medicare PIN 257900SSSS (IN); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1356344766) · Data from the CMS NPPES public registry.