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

Jacob Floyd Keultjes, MSN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1336830454

Jacob Floyd Keultjes, MSN, FNP-C is a Nurse Practitioner in Elkhart, Indiana. Qualified in 2023, 3 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2023
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

500 Arcade Ave Ste 320
Elkhart, IN 46514-2477
Phone: (574) 523-7900
Fax: (574) 523-7909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Arcade Ave Ste 300, Elkhart, IN 46514-2486 — (574) 389-7362

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71014104A (IN)

Record details

NPI number1336830454
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , FNP-C
Sole proprietorNo
NPI enumeratedMay 18, 2023
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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