Jacob Floyd Keultjes, MSN, FNP-C - Medicare Nurse Practitioner in Elkhart, IN

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Jacob Floyd Keultjes, MSN, FNP-C is a medicare enrolled "Nurse Practitioner" in Elkhart, Indiana. His current practice location is 500 Arcade Ave Ste 320, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 523-7900.

Jacob Floyd Keultjes is licensed to practice in Indiana (license number 28215465A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336830454.

Contact Information

Jacob Floyd Keultjes, MSN, FNP-C
500 Arcade Ave Ste 320,
Elkhart, IN 46514-2477
(574) 523-7900
(574) 523-7909

Map and Direction




Provider's Profile

Full NameJacob Floyd Keultjes
GenderMale
SpecialityNurse Practitioner
Location500 Arcade Ave Ste 320, Elkhart, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336830454
  • Provider Enumeration Date: 05/18/2023
  • Last Update Date: 11/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082061437
  • Enrollment ID: I20231107003416

Medical Identifiers

Medical identifiers for Jacob Floyd Keultjes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336830454NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 28215465A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Floyd Keultjes allows following entities to bill medicare on his behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Floyd Keultjes is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Floyd Keultjes, MSN, FNP-C
3245 Health Dr Ste 100,
Granger, IN 46530-1380

Ph: (574) 647-2129		Jacob Floyd Keultjes, MSN, FNP-C
500 Arcade Ave Ste 320,
Elkhart, IN 46514-2477

Ph: (574) 523-7900

Reviews and Comments


Nurse Practitioner Nurses in Elkhart, IN

Elizabeth W Maina, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 236 Simpson Ave, Elkhart, IN 46516
Phone: 574-293-0052    
Cecilia Mumbi Maina,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 236 Simpson Ave, Elkhart, IN 46516
Phone: 574-293-0052    
Mr. Kenneth Francis Raderstorf Iii, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3301 County Road 6 E, Elkhart, IN 46514
Phone: 574-266-5342    Fax: 574-266-5847
Rosemary J Eash, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1627 E Bristol St, Elkhart, IN 46514
Phone: 574-262-0313    Fax: 574-262-8163
Lorraine Doris Swartzentruber, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 236 Simpson Ave, Elkhart, IN 46516
Phone: 574-293-0052    
Mrs. Catherine E Dos Santos, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3421 S Main St, Elkhart, IN 46517
Phone: 574-295-7178    Fax: 574-295-8822
Ann R. Moore, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 500 Arcade Ave, Ste 210, Elkhart, IN 46514
Phone: 574-389-5656    Fax: 574-523-7891

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.