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Nwi Mdvip LLC

Family Medicine Physician in Crown Point, IN · enumerated 2022 · authorized official Brent Jacobus, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538877972

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Registry record

Entity type Organization (Type 2)
Legal business name Nwi Mdvip LLC
Practice address 9150 E 109th Ave Ste 2b, Crown Point, IN, 46307
Phone (219) 213-2947
Fax (219) 310-8175
Enumeration date Nov 14, 2022
Last updated in NPPES Nov 14, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Brent Jacobus
Title Owner
Phone (219) 306-0752

Other identifiers

Identifier Type State Issuer
200380090 Medicaid IN -
100200720 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Nwi Mdvip LLC?
The NPI for Nwi Mdvip LLC is 1538877972, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Nwi Mdvip LLC?
NPPES lists Brent Jacobus (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-11-14.