JACK WHITE
NPI 1518709492
Student in an Organized Health Care Education/Training Program in Indianapolis, IN
About Jack White NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK WHITE (NPI 1518709492) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jack White is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
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 Jack White's NPI number?
The NPI number for Jack White is 1518709492. It was assigned to this individual provider in the NPPES registry on June 11, 2024.
Where is Jack White located?
Jack White practices at 350 W 14th St # Ha7024, Indianapolis, IN 46202. The listed phone number is (317) 944-5000.
What is Jack White's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jack White enrolled in Medicare?
Yes. Jack White is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jack White was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jack White · NPI 1518709492
Student in an Organized Health Care Education/Training Program provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since June 11, 2024.
## Identity
- **NPI:** 1518709492 (Entity type: Individual)
- **Enumerated:** June 11, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 350 W 14TH ST # HA7024, Indianapolis, IN 46202-2369
- **Phone:** (317) 944-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1518709492) · Data from the CMS NPPES public registry.