Individual provider Active NPI

Brandice Lynn Page, APNP

  • Nurse Practitioner
  • South Bend, IN
National Provider Identifier
1013611359
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71013956A Issued in IN
Practice address
53760 Generations Dr
South Bend, IN 46635-1539
Phone
(888) 938-3838
Fax
(888) 919-1083
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28243614A IN
Nurse Practitioner 363L00000X 71013956A IN Primary

Addresses

Primary practice location

53760 Generations Dr
South Bend, IN 46635-1539

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838

Other practice location 1

8135 Calumet Ave
Munster, IN 46321-1701
Phone (219) 513-2000

Other practice location 2

2012 S Main St Ste B
Goshen, IN 46526-5200
Phone (888) 938-3838

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
I20230815000600 IN Practitioner - Nurse Practitioner 0446612063 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smart Physician Systems PCGroup PAC ID 3678853645, 8 clinicians
Midwest Express Care 4 LLCGroup PAC ID 4284909615, 64 clinicians
Nwi Urgent Care, LLCGroup PAC ID 7618142977, 45 clinicians

Practice addresses (Care Compare)

10176 W 400
Suite C
Michigan City, IN 46360-9009
Phone (219) 873-1777

31 E Sibley St
Suite a
Hammond, IN 46320-1725
Phone (219) 802-8800

8135 Calumet Ave
Munster, IN 46321-1701
Phone (219) 513-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71013956AINMDNurse Practitioner
28243614AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Urgent Care, LLC CurrentSince Sep 8, 2025 Accepting new patients
Midwest Express Care, Inc CurrentSince Sep 8, 2025 Accepting new patients
Smart Physician Systems PC CurrentSince Jan 24, 2026 Accepting new patients
Midwest Express Care 4 LLC CurrentSince Sep 8, 2025 Accepting new patients
Midwest Express Care 4 LLC CurrentSince Sep 8, 2025 Accepting new patients
The Methodist Hospitals, Inc PastSince Sep 8, 2025 Accepting new patients

Locations

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

8102 Georgia St
#1
Merrillville, IN 46410
Phone (219) 595-0300

10176 W 400 N
Ste C
Michigan City, IN 46360
Phone (219) 873-1777

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

1500 US Highway 41
Schererville, IN 46375
Phone (219) 440-7373

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1013611359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53760 GENERATIONS DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351539",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8135 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463211701",
            "country_code": "US",
            "telephone_number": "219-513-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2012 S Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465265200",
            "country_code": "US",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "BRANDICE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28243614A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71013956A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.