JACQUELINE D COMBELLICK MD
NPI 1780694794
General Practice in Carmel, IN
About Jacqueline D Combellick Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE D COMBELLICK MD (NPI 1780694794) is an individual general practice provider in Carmel, Indiana, licensed in Indiana (01047186A) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and maintains a secondary practice location in Greenwood.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Jacqueline D Combellick Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jacqueline Combellick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 1,781 clinicians in this Medicare group
Brownsburg, IN 46112
- Reassigned Medicare billing, Indiana enrollment
- 146 clinicians in this Medicare group
Lafayette, IN 47905
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Lafayette Emergency Care PC
- 57 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Indiana University Health Ball Memorial Hospital
Acute Care Hospitals · Muncie, INOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARMEL, IN 46032
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 Jacqueline Combellick's NPI number?
The NPI number for Jacqueline Combellick is 1780694794. It was assigned to this individual provider in the NPPES registry on August 9, 2006.
Where is Jacqueline Combellick located?
Jacqueline Combellick practices at 11700 N Meridian St, Carmel, IN 46032. The listed phone number is (317) 688-3139.
What is Jacqueline Combellick's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Jacqueline Combellick enrolled in Medicare?
Yes. Jacqueline Combellick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacqueline Combellick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Combellick reassigns Medicare benefits to 3 organizations: Indiana University Health Care Associates, Inc. (Indianapolis, IN), Indiana University Health Urgent Care Centers, LLC (Brownsburg, IN) and Lafayette Emergency Care, P.C. (Lafayette, IN). 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 Jacqueline Combellick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Combellick accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Jacqueline Combellick 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.
Is Jacqueline Combellick affiliated with any hospitals?
According to CMS data, Jacqueline Combellick is affiliated with Indiana University Health Ball Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jacqueline Combellick was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Jacqueline D Combellick, MD · NPI 1780694794
General Practice physician in Carmel, Indiana. Individual provider, active in the CMS NPPES registry since August 9, 2006.
## Identity
- **NPI:** 1780694794 (Entity type: Individual)
- **Enumerated:** August 9, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 01047186A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 11700 N MERIDIAN ST, Carmel, IN 46032-4656
- **Phone:** (317) 688-3139 · **Fax:** (317) 688-2664
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Indiana University Health Care Associates, Inc. (NPI 1679949002, Indianapolis, IN); Indiana University Health Urgent Care Centers, LLC (NPI 1114302965, Brownsburg, IN); Lafayette Emergency Care, P.C. (NPI 1861447211, Lafayette, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** February 27, 2025
- **Other identifiers:** Medicaid 200158610 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1780694794) · Data from the CMS NPPES public registry.