MRS. JACELYN JO HOSTETTER FNP-BC
NPI 1831528942
Nurse Practitioner - Family in South Bend, IN

Active since November 08, 2013PECOS EnrolledAccepts Medicare Assignment
615 N MICHIGAN ST, 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601(574) 647-3050(574) 647-1094 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2021, Mar 31, 2021, Sep 19, 2019 and 3 more (6 updates tracked since 2016).

About Mrs. Jacelyn Jo Hostetter Fnp-bc NPPES

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

MRS. JACELYN JO HOSTETTER FNP-BC (NPI 1831528942) is an individual family provider in South Bend, Indiana, licensed in Indiana (71004807A) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1831528942
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JACELYN JO HOSTETTERCredential: FNP-BC
Location Address615 N MICHIGAN ST, 1ST FL HOSPITALIST STESouth Bend, IN 46601-1033
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069
Fax(574) 647-1094
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 8, 2013
Last NPPES UpdateApril 28, 20236 updates tracked since enumeration
NPPES CertifiedApril 28, 2023
NPI 1831528942 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 · 71004807A
615 N MICHIGAN ST, South Bend, IN 46601

Other Identifiers 1

Medicaid201285780IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jacelyn Jo Hostetter Fnp-bc 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 ID9638302235
PECOS Enrollment IDI20140506001960
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.

Areas of Expertise CMS Part B claims 3

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 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.
200 services52 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.
177 services30 patients
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.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
3 suppliers20 claims690 services$20.25 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers23 claims759 services$7.10 avg. paid by Medicare
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard A6266
DME-Medical/Surgical Supplies · category DA023N
3 suppliers14 claims440 services$1.84 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
4 suppliers39 claims3,062 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
615 N MICHIGAN ST
SOUTH BEND, IN 46601
Nurse Practitioner
615 N MICHIGAN ST
SOUTH BEND, IN 46601
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
Ophthalmology
615 N MICHIGAN ST
SOUTH BEND, IN 46601
Pharmacist (Critical Care)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
Registered Nurse (Case Management)
615 N MICHIGAN ST, MEMORIAL HOSPITAL- COMMUNITY HEALTH ENHANCEMENT
SOUTH BEND, IN 46601
Dietitian, Registered
615 N MICHIGAN ST
SOUTH BEND, IN 46601
Family Medicine (Hospice and Palliative Medicine)
615 N MICHIGAN ST, 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601

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 Jacelyn Hostetter's NPI number?

The NPI number for Jacelyn Hostetter is 1831528942. It was assigned to this individual provider in the NPPES registry on November 8, 2013.

Where is Jacelyn Hostetter located?

Jacelyn Hostetter practices at 615 N Michigan St 1st Fl Hospitalist Ste, South Bend, IN 46601. The listed phone number is (574) 647-3050.

What is Jacelyn Hostetter's specialty?

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

Is Jacelyn Hostetter enrolled in Medicare?

Yes. Jacelyn Hostetter 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.

What insurance does Jacelyn Hostetter accept?

Health plans from CareSource list Jacelyn Hostetter 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 Jacelyn Hostetter affiliated with any hospitals?

According to CMS data, Jacelyn Hostetter is affiliated with Elkhart General Hospital.

When was this NPI record last updated?

The NPPES record for Jacelyn Hostetter was last updated on April 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.