Jacklyn Lynnae Campins, CNM in Carmel, IN - Medicare Advanced Practice Midwife

Jacklyn Lynnae Campins, CNM is a medicare enrolled "Advanced Practice Midwife" in Carmel, Indiana. Her current practice location is 11725 Illinois St, Carmel, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 688-5200.

Jacklyn Lynnae Campins is licensed to practice in Indiana (license number 09000369A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275127805.

Contact Information

	Jacklyn Lynnae Campins, CNM
	11725 Illinois St, Carmel, IN 46032-3008
	(317) 688-5200
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacklyn Lynnae Campins
Gender	Female
Speciality	Advanced Practice Midwife
Location	11725 Illinois St, Carmel, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275127805
Provider Enumeration Date: 02/24/2021
Last Update Date: 03/05/2026

Medicare PECOS Information:

PECOS PAC ID: 4486063492
Enrollment ID: I20210504000665

Medical Identifiers

Medical identifiers for Jacklyn Lynnae Campins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275127805	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	09000369A (Indiana)	Primary
363LW0102X	Nurse Practitioner - Women's Health	71011036A (Indiana)	Secondary

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. Jacklyn Lynnae Campins allows following entities to bill medicare on her behalf.

Entity Name	Seven Hills Ob-gyn Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396350187 PECOS PAC ID: 0749188142 Enrollment ID: O20201207001080

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. Jacklyn Lynnae Campins 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
Jacklyn Lynnae Campins, CNM 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Jacklyn Lynnae Campins, CNM 11725 Illinois St, Carmel, IN 46032-3008 Ph: (317) 688-5200

Reviews and Comments

Advanced Practice Midwife Nurses in Carmel, IN

Antonia Danielle Mayhew, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 13420 N Meridian St Ste 420, Carmel, IN 46032 Phone: 317-582-8500
Victoria Kimberely Floyd, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10859 Weston Dr, Carmel, IN 46032 Phone: 317-437-3681
Megan Kelly Malone, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 11725 Illinois St, Carmel, IN 46032 Phone: 317-249-2703
Desirae C Michalisko, NP, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 13420 N Meridian St Ste 420, Carmel, IN 46032 Phone: 317-582-8500
Chuantiava Williams, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 13420 N Meridian St Ste 420, Carmel, IN 46032 Phone: 317-582-8500

Jacklyn Lynnae Campins, CNM - Medicare Advanced Practice Midwife in Carmel, IN