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

Jacob Edward Lundorf, NP

Individual provider Gerontology Nurse Practitioner · NPI 1598251175

Jacob Edward Lundorf, NP is a Nurse Practitioner in Bloomington, Indiana. Qualified in 2018, 8 years ago. Practices with Indiana University Health Southern Indiana Physicians LLC, a 484-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and North Carolina.

Years since qualifying
8
Licensed in
IN, NC
In the registry since
2018
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

2100 S Liberty Dr Ste B
Bloomington, IN 47403
Phone: (812) 336-5723
Show map & directions

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

Additional practice locations (2)

  • 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 — (812) 676-4102
  • 3000 Rogers Rd Ste 200, Wake Forest, NC 27587-3800 — (919) 439-8860

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71009487B (IN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 71009487A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 5010695 (NC)

Record details

NPI number1598251175
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 6, 2018
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Indiana University Health Southern Indiana Physicians Llc — 484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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