JACQUELINE LINDLEY
NPI 1528984200
Dentist in Fort Wayne, IN

Q: What is Jacqueline Lindley's NPI number?

The NPI number for Jacqueline Lindley is 1528984200. It was assigned to this individual provider in the NPPES registry on June 26, 2026.

Q: What is Jacqueline Lindley's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since June 26, 2026PECOS Enrolled

1717 S CALHOUN ST, FORT WAYNE, IN 46802(260) 458-2641(260) 458-3093 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Jacqueline Lindley NPPES

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

JACQUELINE LINDLEY (NPI 1528984200) is an individual dentist in Fort Wayne, Indiana, licensed in Indiana (12015066A) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Midwestern University College Of Dental Medicine, Glendale (2026).

NPPES Registry Identity

NPI1528984200

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJACQUELINE LINDLEY

Location Address1717 S CALHOUN STFort Wayne, IN 46802-5257

Mailing Address1717 S Calhoun StFort Wayne, IN 46802-5257 · (260) 458-2641 · Fax (260) 458-3093

Phone(260) 458-2641

Fax(260) 458-3093

Sole ProprietorNo

Medical School CMSMidwestern University College Of Dental Medicine, GlendaleGraduated 2026

Enumeration DateJune 26, 2026

NPPES CertifiedJune 26, 2026

✔ NPI 1528984200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12015066A

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1717 S CALHOUN ST, Fort Wayne, IN 46802

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13350 E Paulding RdFort Wayne, IN 46816-4513 · Phone (260) 458-2641

Location 23501 Warsaw StFort Wayne, IN 46806-4175 · Phone (260) 458-2641

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Lindley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294299509

PECOS Enrollment IDI20260708002377

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 46802 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

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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.

RONALD R HALL M.D.

Pediatrics