Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Ann Hartl, FNP-C

Individual provider Family Nurse Practitioner · NPI 1144681941

Jennifer Ann Hartl, FNP-C is a Nurse Practitioner in South Bend, Indiana. Qualified in 2015, 11 years ago. Practices with Privia Medical Group Indiana LLC, a 30-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2016
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

621 Memorial Dr Ste 100
South Bend, IN 46601-1063
Phone: (574) 647-1100
Fax: (574) 647-3148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 303 S Nappanee St, Elkhart, IN 46514-2066 — (574) 296-3200
  • 1215 Lawn Ave Ste 120, Elkhart, IN 46514-2493 — (574) 523-2733

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28196967A (IN)

Record details

NPI number1144681941
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 8, 2016
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Privia Medical Group Indiana Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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