JENNIFER ANNE IRELAND FNP
NPI 1417610700
Nurse Practitioner - Family in Newburgh, IN

Active since October 14, 2021PECOS EnrolledAccepts Medicare Assignment
4209 GATEWAY BLVD, NEWBURGH, IN 47630(812) 842-2800 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Anne Ireland Fnp NPPES

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

JENNIFER ANNE IRELAND FNP (NPI 1417610700) is an individual family provider in Newburgh, Indiana, licensed in Indiana (71011720A.) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417610700
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER ANNE IRELANDCredential: FNP
Location Address4209 GATEWAY BLVDNewburgh, IN 47630-8900
Mailing Address12801 Jordan LnDarmstadt, IN 47725-9189 · (812) 306-1690
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 14, 2021
NPPES CertifiedOctober 14, 2021
✔ NPI 1417610700 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 · 71011720A.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71011720A (IN)
4209 GATEWAY BLVD, Newburgh, IN 47630

Accepted 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 Anne Ireland Fnp 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 ID3072902600
PECOS Enrollment IDI20211119000582
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 Reassignment

Medicare enrollment records show Jennifer Ireland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Infectious Disease
430 E 162ND ST, #487
South Holland, IL 60473
  • Reassigned Medicare billing, Indiana enrollment
  • 20 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.

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.

Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Internal Medicine (Interventional Cardiology)
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Physician Assistant
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Internal Medicine (Interventional Cardiology)
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630

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 Jennifer Ireland's NPI number?

The NPI number for Jennifer Ireland is 1417610700. It was assigned to this individual provider in the NPPES registry on October 14, 2021.

Where is Jennifer Ireland located?

Jennifer Ireland practices at 4209 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 842-2800.

What is Jennifer Ireland's specialty?

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

Is Jennifer Ireland enrolled in Medicare?

Yes. Jennifer Ireland 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.

Which organization bills Medicare for Jennifer Ireland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Ireland reassigns Medicare benefits to Chicagoland Infectious Disease PC (South Holland, IL). The 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 Jennifer Ireland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Ireland accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Jennifer Ireland 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 Jennifer Ireland was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.