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

Jacob Collins

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659012201

Jacob Collins is a Family Practice in Greenwood, Indiana. Qualified in 2022, 4 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2022
Specialties on file
3

Practice location Address checks out

3000 S State Road 135 Ste 310
Greenwood, IN 46143-5527
Phone: (317) 497-2400
Fax: (317) 497-2515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10122 E 10th St Ste 100, Indianapolis, IN 46229-2697 — (317) 355-5717

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01096296A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 11022090A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659012201
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address6626 E 75th St Ste 500, Indianapolis, IN 46250-2890

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Greenwood