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

Jamie Rup, PA

Individual provider Physician Assistant · NPI 1205468543

Jamie Rup, PA is a Physician Assistant in Indianapolis, Indiana. Qualified in 2019, 7 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
7
Licensed in
IN
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7910 E Washington St Ste 200
Indianapolis, IN 46219-5563
Phone: (317) 355-7171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2040 N Shadeland Ave Ste 130, Indianapolis, IN 46219-1727 — (317) 355-2800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004001A (IN)

Record details

NPI number1205468543
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 5, 2020
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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