JILL VAN THOLEN – Nurse Practitioner, NPI 1477955201

JILL VAN THOLEN is a healthcare provider. based in Saint john, Indiana. specializing in Nurse Practitioner. They hold a License No. 71005137A (IN). The NPI Number for JILL VAN THOLEN is 1477955201

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JILL VAN THOLEN
NPI
1477955201
Phone
(219) 440-1232
Address
9495 KEILMAN ST STE 6
Enumeration Date
24 September 2014
Last Update Date
19 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2198365040
Graduation Year
2013 (13 years ago)
PAC ID
8325360175
Group Practice PAC ID
3678737012
Professional Enrollment ID
I20141204002059
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for JILL VAN THOLEN

  • 9495 KEILMAN ST STE 6

    SAINT JOHN, IN 463739295

    Phone: (219) 440-1232

    Fax: (219) 285-5687

    Type: Mailing

  • 3445 RIDGE RD

    HIGHLAND, IN 463222049

    Phone: (219) 838-1100

    Fax: (219) 923-3501

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 46373)

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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: 3678737012View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
-IN
Nurse PractitionerIN
-IN
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyIL
Nurse PractitionerIN
-IN
Gynecological Oncology, Obstetrics/GynecologyIN
-IN
Nurse PractitionerIN

Reviews

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Frequently asked questions

How do payers reference JILL VAN THOLEN?
For JILL VAN THOLEN, use NPI 1477955201 as the unique 10-digit identifier.
Active or inactive — what applies to JILL VAN THOLEN?
You should see JILL VAN THOLEN as active in CMS-hosted NPPES data.
What kind of doctor is JILL VAN THOLEN?
JILL VAN THOLEN is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Indiana is JILL VAN THOLEN registered?
Use Saint John, Indiana as the headline location for JILL VAN THOLEN here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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