JACQUELYN KNOBELSDORF MD
NPI 1548078165
Student in an Organized Health Care Education/Training Program in Indianapolis, IN
About Jacquelyn Knobelsdorf Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN KNOBELSDORF MD (NPI 1548078165) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since December 2024. She 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)
Jacquelyn Knobelsdorf Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Jacquelyn Knobelsdorf's NPI number?
The NPI number for Jacquelyn Knobelsdorf is 1548078165. It was assigned to this individual provider in the NPPES registry on December 28, 2024.
Where is Jacquelyn Knobelsdorf located?
Jacquelyn Knobelsdorf practices at 340 W 10th St Ste 6200, Indianapolis, IN 46202. The listed phone number is (317) 274-8157.
What is Jacquelyn Knobelsdorf's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacquelyn Knobelsdorf enrolled in Medicare?
Yes. Jacquelyn Knobelsdorf is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacquelyn Knobelsdorf was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jacquelyn Knobelsdorf, MD · NPI 1548078165
Student in an Organized Health Care Education/Training Program provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since December 28, 2024.
## Identity
- **NPI:** 1548078165 (Entity type: Individual)
- **Enumerated:** December 28, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 340 W 10TH ST STE 6200, Indianapolis, IN 46202-3082
- **Phone:** (317) 274-8157
## 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:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1548078165) · Data from the CMS NPPES public registry.