Active NPI
Joann Elizabeth Marinkovich-Davidson, FNP-BC
- Family Nurse Practitioner
- Hobart, IN
National Provider Identifier
1023356656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71004356A
- Practice address
- 1500 S Lake Park Ave Sp402
Hobart, IN 46342-6638 - Phone
- (219) 945-4488
- Fax
- (219) 947-6015
- NPI assigned
- Jan 16, 2013
- Last updated
- Jan 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71004356A | IN | Primary |
Addresses
Primary practice location
1500 S Lake Park Ave Sp402
Hobart, IN 46342-6638
Mailing address
8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084
Other practice location 1
3800 Saint Mary Rd Ste 101
Valparaiso, IN 46383-3986
Phone (219) 945-4488
Other practice location 2
1545 W US Highway 30
Schererville, IN 46375-1562
Phone (219) 945-4488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201140590 | Medicaid | IN |
Other names 1
- Joann Marinkovich
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 945-4488
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71004356A | IN | MD | Family Nurse Practitioner |
Interoperability endpoints
- jmarinkovich40200@ssdirect.comhs.org
- joann.marinkovich.davidson.3@13070.direct.athenahealth.com
Organizations & group practices 1
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 Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Powers Health Rehabilitation Center
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1023356656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8558 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107032",
"telephone_number": "219-392-7084",
"fax_number": "219-703-6854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S LAKE PARK AVE SP402",
"city": "HOBART",
"state": "IN",
"postal_code": "463426638",
"telephone_number": "219-945-4488",
"fax_number": "219-947-6015"
}
],
"practiceLocations": [
{
"address_1": "3800 Saint Mary Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Valparaiso",
"state": "IN",
"postal_code": "463833986",
"country_code": "US",
"telephone_number": "219-945-4488",
"fax_number": "219-947-6015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1545 W US Highway 30",
"address_purpose": "LOCATION",
"city": "Schererville",
"state": "IN",
"postal_code": "463751562",
"country_code": "US",
"telephone_number": "219-945-4488",
"fax_number": "219-947-6015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARINKOVICH-DAVIDSON",
"first_name": "JOANN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-16",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71004356A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201140590",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOANN",
"last_name": "MARINKOVICH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hobart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.