MRS. JENNIFER LEIGH DEFAUW
NPI 1548982812
Nurse Practitioner in Portage, IN

Q: What is Jennifer Defauw's NPI number?

The NPI number for Jennifer Defauw is 1548982812. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Q: What is Jennifer Defauw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Defauw was last updated on June 19, 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.

Active since September 14, 2022PECOS EnrolledAccepts Medicare Assignment

3156 WILLOWCREEK RD, PORTAGE, IN 46368(219) 762-9444(219) 762-2288 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 30, 2022, Sep 14, 2022 (2 updates tracked since 2022).

On this page

About Mrs. Jennifer Leigh Defauw NPPES

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

MRS. JENNIFER LEIGH DEFAUW (NPI 1548982812) is an individual nurse practitioner in Portage, Indiana, licensed in Indiana (71013190A) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and maintains a secondary practice location in Valparaiso.

NPPES Registry Identity

NPI1548982812

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. JENNIFER LEIGH DEFAUW

Location Address3156 WILLOWCREEK RDPortage, IN 46368-4498

Mailing Address2753 Kerry DrValparaiso, IN 46385-0031 · (219) 331-8183

Phone(219) 762-9444

Fax(219) 762-2288

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 14, 2022

Last NPPES UpdateJune 19, 20262 updates tracked since enumeration

NPPES CertifiedJune 19, 2026

✔ NPI 1548982812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71013190A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3156 WILLOWCREEK RD, Portage, IN 46368

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Secondary Practice Location 1

Location 11101 Glendale Blvd # 102AValparaiso, IN 46383-3767 · Phone (219) 464-9521

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennifer Leigh Defauw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345610663

PECOS Enrollment IDI20230103001625

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 Jennifer Defauw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Associates Of Nwi LLC

Same address

Pulmonary Disease

3156 WILLOWCREEK RD
Portage, IN 46368

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

NPI 1487949889 (219) 762-4999

Porter Physician Services LLC

1.0 mi

Internal Medicine

3630 WILLOWCREEK RD
Portage, IN 46368

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

NPI 1457566309 (219) 759-5791

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

121 services89 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

109 services82 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

81 services81 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

14 services14 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150034

Location1500 S Lake Park AveHobart, IN 46342 · Lake County

Emergency services Birthing friendly

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150035

Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46368 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 12

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

KELLY POLLARD AGACNP

Nurse Practitioner (Acute Care)