JACOB DANIEL HOLZHAUSEN FNP
NPI 1477438612
Nurse Practitioner - Family in Plainfield, IN

Q: What is Jacob Holzhausen's NPI number?

The NPI number for Jacob Holzhausen is 1477438612. It was assigned to this individual provider in the NPPES registry on August 7, 2025.

Q: What is Jacob Holzhausen'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 Holzhausen was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since August 07, 2025PECOS Enrolled

1100 SOUTHFIELD DR STE 1140, PLAINFIELD, IN 46168(317) 839-7200(317) 837-7926 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2025, Aug 7, 2025 (2 updates tracked since 2025).

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About Jacob Daniel Holzhausen Fnp NPPES

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

JACOB DANIEL HOLZHAUSEN FNP (NPI 1477438612) is an individual family provider in Plainfield, Indiana, licensed in Indiana (71017179A) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, is affiliated with Hendricks Regional Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477438612

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJACOB DANIEL HOLZHAUSENCredential: FNP

Location Address1100 SOUTHFIELD DR STE 1140Plainfield, IN 46168-4499

Mailing Address1100 Southfield Dr Ste 1370Plainfield, IN 46168-4300 · (317) 837-5566 · Fax (317) 837-5567

Phone(317) 839-7200

Fax(317) 837-7926

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 7, 2025

Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1477438612 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 · 71017179A

1100 SOUTHFIELD DR STE 1140, Plainfield, IN 46168

Open in Google Maps ↗

Secondary Practice Locations 2

Location 15492 N Ronald Reagan Pkwy Ste 130Brownsburg, IN 46112-5658 · Phone (317) 456-9050 · Fax (317) 858-5348

Location 28244 E US Highway 36 Ste 1100Avon, IN 46123-9627 · Phone (317) 272-7500 · Fax (317) 272-7515

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Daniel Holzhausen Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416444880

PECOS Enrollment IDI20251017002826

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 Reassignments

Medicare enrollment records show Jacob Holzhausen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hendricks County Hospital

Same address

Family Medicine

1100 SOUTHFIELD DR STE 1210
Plainfield, IN 46168

Reassigned Medicare billing, Indiana enrollment
401 clinicians in this Medicare group

NPI 1104927557 (317) 839-4114

Arbor Medical Services PC

173 mi

Internal Medicine

4849 N MILWAUKEE AVE STE 700
Chicago, IL 60630

Reassigned Medicare billing, Indiana enrollment
2 clinicians in this Medicare group

NPI 1356282628 (872) 259-4798

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Hendricks Regional Health

Acute Care Hospitals · Danville, IN

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150005

Location1000 E Main StDanville, IN 46122 · Hendricks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46168 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 10

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

JANET R PERKINS NP

Nurse Practitioner (Family)