Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Reyes Lowe, NP-C

Individual provider Registered Nurse · NPI 1093077505

Jack Reyes Lowe, NP-C is a Nurse Practitioner in Lebanon, Indiana. Qualified in 2011, 15 years ago. Practices with Cleanslate Medical Group of Indiana LLC, a 61-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
15
Licensed in
IN
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2605 N Lebanon St
Lebanon, IN 46052-1476
Phone: (765) 485-8124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71003966 (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28146216A (IN)

Record details

NPI number1093077505
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJune 11, 2012
Last updated in NPPESJune 29, 2015
Mailing address2605 N Lebanon St, Lebanon, IN 46052-1476

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Cleanslate Medical Group Of Indiana Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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