MRS. JESSICA RUTH BLEYLE (NP-C) – Family Nurse Practitioner, NPI 1053703900

MRS. JESSICA RUTH BLEYLE (NP-C) is a healthcare provider. based in Indianapolis, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 71005373B (IN). The NPI Number for MRS. JESSICA RUTH BLEYLE (NP-C) is 1053703900

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JESSICA RUTH BLEYLE (NP-C)
NPI
1053703900
Phone
(317) 517-3515
Address
7720 BANCASTER DR
Enumeration Date
2 March 2015
Last Update Date
16 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006838313
Graduation Year
2014 (12 years ago)
PAC ID
6709104672
Group Practice PAC ID
7810247533
Professional Enrollment ID
I20150406002361
Address ID
IN473741844RI1528XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for MRS. JESSICA RUTH BLEYLE (NP-C)

  • 7720 BANCASTER DR

    INDIANAPOLIS, IN 462685710

    Phone: (317) 517-3515

    Type: Mailing

  • 1466 W OAK ST

    ZIONSVILLE, IN 460771800

    Phone: (317) 873-6438

    Type: Location

  • 1740 CAPE CHARLES CT

    CICERO, IN 460349624

    Phone: (317) 517-3515

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150406002361INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46268)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810247533View full group profile
NameSpecialtyState
Nurse PractitionerIN
Family PracticeME
Nurse PractitionerIN
Nurse PractitionerWV
Anesthesiology, Pain ManagementCA
Osteopathic Manipulative MedicineME
Emergency MedicineIN
Nurse PractitionerIN
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. JESSICA RUTH BLEYLE (NP-C)?
NPI 1053703900 is assigned to MRS. JESSICA RUTH BLEYLE (NP-C) under the national enumeration system.
Is MRS. JESSICA RUTH BLEYLE (NP-C) active in the national directory?
MRS. JESSICA RUTH BLEYLE (NP-C)'s public NPI profile is in an active state.
What kind of provider is MRS. JESSICA RUTH BLEYLE (NP-C)?
The page reflects Family Nurse Practitioner for MRS. JESSICA RUTH BLEYLE (NP-C). Clinical services aligned with this taxonomy classification.
Does MRS. JESSICA RUTH BLEYLE (NP-C) practice in Indiana?
You will see Indianapolis, Indiana on file for MRS. JESSICA RUTH BLEYLE (NP-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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