Jennifer Kelly Whitehead, is a medicare enrolled "Nurse Practitioner - Family" physician in Kokomo, Indiana. She graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Vincent Medical Group Inc and her current practice location is
138 N Dixon Rd, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 236-8320.
Jennifer Kelly Whitehead is licensed to practice in Indiana (license number 71017312A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922989649.
Physician's Profile
| Full Name | Jennifer Kelly Whitehead |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 138 N Dixon Rd, Kokomo, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jennifer Kelly Whitehead graduated from medical school in 2025
NPI Data:
- NPI Number: 1922989649
- Provider Enumeration Date: 09/09/2025
- Last Update Date: 12/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 3173015450
- Enrollment ID: I20251124003433
Medical Identifiers
Medical identifiers for Jennifer Kelly Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922989649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | F08250842 (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71017312A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St Vincent Medical Group Inc | 7012047640 | 728 |
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. Jennifer Kelly Whitehead 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 Address | Practice Location Address |
Jennifer Kelly Whitehead, 138 N Dixon Rd, Kokomo, IN 46901-4154 Ph: (765) 236-8320 | Jennifer Kelly Whitehead, 138 N Dixon Rd, Kokomo, IN 46901-4154 Ph: (765) 236-8320 |
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