MEDICARE: JESSE LYNNE SCHWARTZ NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	71012050A	IN
2	363LF0000X	Family Nurse Practitioner	F02210591	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Q00256342	OTHER	IN	RAILROAD MEDICARE PTAN
2	266180K89	OTHER	IN	INDIVIDUAL MEDICARE PTAN

General Provider Information

NPI Number	:	1063172484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSE LYNNE SCHWARTZ NP

Provider Business Mailing Address
First Line	:	6626 E 75TH ST STE 500
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2890
Country	:	US
Telephone Number	:	317-621-7912
Fax Number	:

Provider Business Practice Location Address
First Line	:	1402 E COUNTY LINE RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-0963
Country	:	US
Telephone Number	:	317-621-5700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2021
Last Update Date	:	05/19/2026

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