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JESSICA ERIN HALTOM NP
NPI 1548004500
Nurse Practitioner - Family in Clarksville, IN

Active since June 24, 2024PECOS Enrolled
101 POTTERS LN, CLARKSVILLE, IN 47129(443) 483-9300 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jessica Erin Haltom Np NPPES

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

JESSICA ERIN HALTOM NP (NPI 1548004500) is an individual family provider in Clarksville, Indiana, licensed in Indiana (71015418A) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1548004500
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA ERIN HALTOMCredential: NP
Location Address101 POTTERS LNClarksville, IN 47129-1017
Mailing Address909 Ridgebrook Rd Ste 300Sparks, MD 21152-9477 · (443) 383-9300
Phone(443) 483-9300
Sole ProprietorYes
Enumeration DateJune 24, 2024
NPPES CertifiedJune 22, 2024
✔ NPI 1548004500 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 · 71015418A
101 POTTERS LN, Clarksville, IN 47129
Open in Google Maps ↗

Secondary Practice Location 1

Location 1519 Edgewood DrLebanon, IN 46052-1972 · Phone (765) 481-1784

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)

Jessica Erin Haltom Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

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

Integrative Wellness, LLC
125 mi
Psychiatry
1310 S LEBANON ST STE C
Lebanon, IN 46052
  • Reassigned Medicare billing, Indiana enrollment
  • 22 clinicians in this Medicare group
NPI 1750723490 (765) 680-0071
Consonant Healing Associates Of De LLC
499 mi
Surgery
909 RIDGEBROOK RD STE 220
Sparks, MD 21152
  • Reassigned Medicare billing, Indiana enrollment
  • 84 clinicians in this Medicare group
NPI 1669099321 (443) 383-9300

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
172 services62 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
102 services46 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
53 services30 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
44 services20 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
42 services42 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
36 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47129 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.

OLUWASAYO SINKAIYE
Nurse Practitioner (Family)
101 POTTERS LN
CLARKSVILLE, IN 47129
Clark County (443) 383-9300
MRS. MYRNA VELAZQUEZ FNP
Nurse Practitioner (Family)
101 POTTERS LN
CLARKSVILLE, IN 47129
Clark County (443) 383-9300
MRS. PHYLLIS ANN ASHBROOK
Occupational Therapy Assistant
101 POTTERS LN
CLARKSVILLE, IN 47129
Clark County (812) 948-0808
MRS. WENDY HALL
Physical Therapy Assistant
101 POTTERS LN
CLARKSVILLE, IN 47129
Clark County (812) 948-0808
SHANTELLE M BURRESS NP
Nurse Practitioner (Family)
101 POTTERS LN
CLARKSVILLE, IN 47129
Clark County (443) 383-9300
JANICE LYNN BRIGHTWELL PT
Physical Therapist
101 POTTERS LN
CLARKSVILLE, IN 47129
Clark County (812) 948-0080
DORENDA L GILMAN
Nurse Practitioner (Family)
101 POTTERS LN
CLARKSVILLE, IN 47129
Clark County (443) 483-9300
JESSICA SMITH APRN
Nurse Practitioner (Family)
101 POTTERS LN
CLARKSVILLE, IN 47129
Clark County (443) 483-9300

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 Jessica Haltom's NPI number?

The NPI number for Jessica Haltom is 1548004500. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Jessica Haltom located?

Jessica Haltom practices at 101 Potters Ln, Clarksville, IN 47129. The listed phone number is (443) 483-9300.

What is Jessica Haltom's specialty?

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

Is Jessica Haltom enrolled in Medicare?

Yes. Jessica Haltom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Haltom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Haltom reassigns Medicare benefits to 2 organizations: Integrative Wellness, LLC (Lebanon, IN) and Consonant Healing Associates Of De LLC (Sparks, MD). 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 Jessica Haltom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Haltom accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Jessica Haltom 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 Jessica Haltom was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.