JAIME NURRENBERN (PT, DPT, LAT, ATC) – Physical Therapist, NPI 1548929045

JAIME NURRENBERN (PT, DPT, LAT, ATC) is a healthcare provider. based in Haubstadt, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, LAT, ATC. They hold a License No. 36003523A (IN). The NPI Number for JAIME NURRENBERN (PT, DPT, LAT, ATC) is 1548929045

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
JAIME NURRENBERN (PT, DPT, LAT, ATC)
NPI
1548929045
Phone
(812) 677-7640
Address
2070 E PRESLEY DR
Enumeration Date
12 December 2021
Last Update Date
20 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124616716
Graduation Year
2025 (1 year ago)
PAC ID
9234639824
Group Practice PAC ID
2961818398
Professional Enrollment ID
I20250827000373
Address ID
IN477131201EV201XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for JAIME NURRENBERN (PT, DPT, LAT, ATC)

  • 2070 E PRESLEY DR

    HAUBSTADT, IN 476397969

    Phone: (812) 677-7640

    Type: Mailing

  • 10455 ORTHOPAEDIC DR

    NEWBURGH, IN 476307955

    Phone: (812) 437-1420

    Type: Location

  • 10455 Orthopaedic Dr

    Newburgh, IN 476307955

    Phone: (812) 437-1420

    Type: Location

  • 101 NW 1ST ST STE 114

    EVANSVILLE, IN 477081259

    Phone: (812) 402-0444

    Fax: (812) 402-0449

    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: 2025-08-27

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
I20250827000373IPhysical Therapist In Private PracticeINTBD

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 47639)

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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: 2961818398View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Clinical Social WorkerIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

How do payers reference JAIME NURRENBERN (PT, DPT, LAT, ATC)?
For JAIME NURRENBERN (PT, DPT, LAT, ATC), use NPI 1548929045 as the unique 10-digit identifier.
Is JAIME NURRENBERN (PT, DPT, LAT, ATC) still an active registrant?
JAIME NURRENBERN (PT, DPT, LAT, ATC) carries an active NPI according to the public dataset.
What expertise is attributed to JAIME NURRENBERN (PT, DPT, LAT, ATC)?
JAIME NURRENBERN (PT, DPT, LAT, ATC)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JAIME NURRENBERN (PT, DPT, LAT, ATC)?
Travel planning: use Haubstadt, Indiana as the reference point for JAIME NURRENBERN (PT, DPT, LAT, ATC), then confirm.
When was this NPI issued?
Enumeration for JAIME NURRENBERN (PT, DPT, LAT, ATC) is noted as December 12, 2021 where the registry provides it.

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