JACK REYES LOWE (NP-C) – Nurse Practitioner, NPI 1093077505

JACK REYES LOWE (NP-C) is a healthcare provider. based in Lebanon, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 28146216A (IN). The NPI Number for JACK REYES LOWE (NP-C) is 1093077505

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JACK REYES LOWE (NP-C)
NPI
1093077505
Phone
(765) 485-8124
Address
2605 N LEBANON ST
Enumeration Date
11 June 2012
Last Update Date
29 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4135842173
Graduation Year
2011 (15 years ago)
PAC ID
1658535844
Group Practice PAC ID
4880963909
Professional Enrollment ID
I20120620000317
Address ID
IN461682715PL2455XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for JACK REYES LOWE (NP-C)

  • 2605 N LEBANON ST

    LEBANON, IN 460521476

    Phone: (765) 485-8124

    Mailing address matches the actual address.

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: 2012-06-20

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
I20120620000317INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6719$0
99214Established patient office or other outpatient visit, 30-39 minutes3113$0
View full utilization report →

Insurance plans in this area (ZIP 46052)

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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: 4880963909View full group profile
NameSpecialtyState
-KY
Nurse PractitionerIN
Nurse PractitionerIN
Physician AssistantIN
-IN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerTN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Can I cross-check JACK REYES LOWE (NP-C) using NPI 1093077505?
NPI 1093077505 belongs to JACK REYES LOWE (NP-C); compare other details if you need extra assurance.
Would JACK REYES LOWE (NP-C) appear as active to a payer?
You can treat JACK REYES LOWE (NP-C) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JACK REYES LOWE (NP-C)?
JACK REYES LOWE (NP-C) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is JACK REYES LOWE (NP-C) associated with Lebanon?
Public fields place JACK REYES LOWE (NP-C) around Lebanon, Indiana. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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