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

Mr. Kristian Hale Jensen, PAC

Individual provider Physician Assistant · NPI 1942209184

Mr. Kristian Hale Jensen, PAC is a Physician Assistant in Greenwood, Indiana. Graduated from Wake Forest University School of Medicine in 1996, 30 years ago. Practices with Urology of Indiana LLC, a 81-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois, Indiana and North Carolina.

Years since qualifying
30
Trained at
Wake Forest University School of Medicine
Licensed in
IL, IN, NC
In the registry since
2005
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

679 E County Line Rd
Greenwood, IN 46143-1049
Phone: (317) 890-2000
Fax: (317) 859-7220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10002986A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 085001335 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 102163 (NC)

Record details

NPI number1942209184
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 19, 2005
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Urology Of Indiana Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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