JACOB BLEDSOE (DO) – Emergency Medicine Physician, NPI 1891360830
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,268 EMERGENCY MEDICINE in IN
Provider Addresses for JACOB BLEDSOE (DO)
1425 CHATHAM HILLS BLVD
WESTFIELD, IN 460744359
Phone: (812) 296-1111
Type: Mailing
1907 W SYCAMORE ST
KOKOMO, IN 469015148
Phone: (765) 452-5611
Type: Location
6460 LURIA LN APT 2204
ZIONSVILLE, IN 460775850
Phone: (812) 296-1111
Type: Mailing
2109 HUGHES
3RD FLOOR JOBST TOWER
TOLEDO, OH 43606
Phone: (419) 291-8154
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: 2024-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231115001654 | I | Emergency Medicine | OH | TBD |
| I20240723003722 | I | Emergency Medicine | IN | TBD |
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.
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 46074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MI | |
| Physician Assistant | MI | |
| Emergency Medicine | WI | |
| Emergency Medicine | NH | |
| Family Practice, Emergency Medicine | NC | |
| Physician Assistant | OR | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| Emergency Medicine | TN | |
| - | OR |
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