Active NPI
Kathleen Decorte, FNP-C
- Family Nurse Practitioner
- Valparaiso, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28214761A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28214761A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Asthma Care P.C. | Current | 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.
-
- Specialist
- Valparaiso, IN
- NPI 1265440390
-
- Obstetrics & Gynecology Physician
- Valparaiso, IN
- NPI 1346426533
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.