Active NPI
Faith A Ornelas, NP
- Psychiatric/Mental Health Nurse Practitioner
- Crown Point, IN
National Provider Identifier
1023004140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 70000079A
- Practice address
- 11357 Morton CT
Crown Point, IN 46307-4200 - Phone
- (219) 712-0016
- NPI assigned
- Sep 23, 2005
- Last updated
- Dec 27, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 70000079A | IN | Primary |
| Clinical Nurse Specialist | 364S00000X | 70000079A | IN | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 70000079A | IN |
Addresses
Primary practice location
11357 Morton CT
Crown Point, IN 46307-4200
Mailing address
11357 Morton CT
Crown Point, IN 46307-4200
Phone (219) 712-0016
Other practice location 1
24 Joliet St
Dyer, IN 46311-1705
Phone (219) 322-5747
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200265500 | Medicaid | IN | |
| 90000854 | Other | IL | BCBSIL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fornelas3733@Direct.FranciscanAlliance.org | Direct | |
| Direct Messaging Address | fornelas3733@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70000079A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Margaret Mercy Healthcare Centers Inc | Past | Accepting new patients | |
| St Margaret Mercy Healthcare Centers | Past | Accepting new patients | |
| Franciscan Health Dyer & Hammond | Past | Accepting new patients |
Interoperability endpoints
- fornelas3733@direct.franciscanalliance.org
Organizations & group practices 3
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.
-
dba Outpatient Behavioral Health Dyer
- Psychiatry Physician
- Dyer, IN
- NPI 1508938408
-
dba St Margaret Mercy Inpatient Specialist
- Internal Medicine Physician
- Hammond, IN
- NPI 1255403135
-
dba St. Margaret Home Care
- Home Health Agency
- Lansing, IL
- NPI 1831194182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1023004140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11357 MORTON CT",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463074200",
"telephone_number": "219-712-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11357 MORTON CT",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463074200",
"telephone_number": "219-712-0016"
}
],
"practiceLocations": [
{
"address_1": "24 Joliet St",
"address_purpose": "LOCATION",
"city": "Dyer",
"state": "IN",
"postal_code": "463111705",
"country_code": "US",
"telephone_number": "219-322-5747",
"fax_number": "219-864-2282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORNELAS",
"first_name": "FAITH",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "70000079A",
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IN",
"license": "70000079A",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "IN",
"license": "70000079A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200265500",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSIL",
"identifier": "90000854",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fornelas3733@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "24 Joliet St",
"city": "Dyer",
"state": "IN",
"country_code": "US",
"postal_code": "463111705",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fornelas3733@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2050 N Main St Ste C",
"city": "Crown Point",
"state": "IN",
"country_code": "US",
"postal_code": "463072048",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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- Jasmine Y Ortiz
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.