IndividualActive
Jill Van Tholen
NPI 1477955201 · Nurse Practitioner · Saint John, IN
Provider details
- NPI number
- 1477955201
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 71005137A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9495 Keilman St Ste 6
Saint John, IN 46373-9295
Phone: (219) 440-1232
Fax: (219) 285-5687
Street-level locationGet directions
Mailing address
9495 Keilman St Ste 6
Saint John, IN 46373-9295
Registry dates
- Enumerated
- 2014-09-24
- Last updated
- 2025-03-19
- Certified
- 2025-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.