Individual provider Active NPI

Kathleen Decorte, FNP-C

  • Family Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1013466481
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28214761A Issued in IN
Practice address
2802 Leonard Dr
Valparaiso, IN 46383-7136
Phone
(219) 531-5855
Fax
(219) 531-1617
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28214761A IN Primary

Addresses

Primary practice location

2802 Leonard Dr
Valparaiso, IN 46383-7136

Mailing address

2802 Leonard Dr Ste 100
Valparaiso, IN 46383-7136
Phone (219) 531-5855

Other practice location 1

11039 Broadway Ste B
Crown Point, IN 46307-7771
Phone (219) 756-6100

Other practice location 2

6050 Sterling Creek Rd
Portage, IN 46368-7752
Phone (219) 756-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161121000134 IN Practitioner - Nurse Practitioner 7810276557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Asthma Care P.C.Group PAC ID 5698779080, 5 clinicians

Practice addresses (Care Compare)

2802 Leonard Dr
Valparaiso, IN 46383-7136
Phone (219) 531-5855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28214761AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma Care P.C. CurrentSince Oct 16, 2016 Accepting new patients
Kurt Wiese, MD PC Past Accepting new patients

Locations

5521 W Lincoln Hwy
Ste 100
Crown Point, IN 46307
Phone (219) 531-0355

11039 Broadway
Ste B
Crown Point, IN 46307
Phone (219) 462-7773

6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188

2802 Leonard Dr
Ste 100
Valparaiso, IN 46383
Phone (219) 531-5855

2802 Leonard Dr
Valparaiso, IN 46383
Phone (219) 531-0355

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1013466481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 LEONARD DR STE 100",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837136",
            "telephone_number": "219-531-5855",
            "fax_number": "219-531-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 LEONARD DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837136",
            "telephone_number": "219-531-5855",
            "fax_number": "219-531-1617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11039 Broadway Ste B",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463077771",
            "country_code": "US",
            "telephone_number": "219-756-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6050 Sterling Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463687752",
            "country_code": "US",
            "telephone_number": "219-756-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECORTE",
        "first_name": "KATHLEEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28214761A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.