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DR. JACK E. NICEWANDER D.D.S.
NPI 1659443802
Dentist - General Practice in Indianapolis, IN

Active since November 14, 2006PECOS Enrolled
5511 E 82ND ST, SUITE F, INDIANAPOLIS, IN 46250(317) 842-1903(317) 849-8054 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack E. Nicewander D.d.s. NPPES

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

DR. JACK E. NICEWANDER D.D.S. (NPI 1659443802) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (12007501A) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659443802
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACK E. NICEWANDERCredential: D.D.S.
Location Address5511 E 82ND ST, SUITE FIndianapolis, IN 46250-4698
Mailing Address5511 E 82nd St, Suite FIndianapolis, IN 46250-4698 · (317) 842-1903 · Fax (317) 849-8054
Phone(317) 842-1903
Fax(317) 849-8054
Sole ProprietorYes
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659443802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12007501A
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5511 E 82ND ST, Indianapolis, IN 46250
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack E. Nicewander D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46250 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 2

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

JACK E NICEWANDER
Clinic/Center (Dental)
5511 E 82ND ST, STE F
INDIANAPOLIS, IN 46250
Marion County (317) 842-1903
GREAT CARE HOME HEALTH, INC.
Home Health
5511 E 82ND ST, STE C
INDIANAPOLIS, IN 46250
Marion County (317) 595-9933

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 Nicewander's NPI number?

The NPI number for Jack Nicewander is 1659443802. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Jack Nicewander located?

Jack Nicewander practices at 5511 E 82nd St Suite F, Indianapolis, IN 46250. The listed phone number is (317) 842-1903.

What is Jack Nicewander's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jack Nicewander enrolled in Medicare?

Yes. Jack Nicewander is registered in the Medicare PECOS enrollment system.

What insurance does Jack Nicewander accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jack Nicewander 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 Jack Nicewander was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.