Individual provider Active NPI

Paula Brown, NP-C

  • Substance Abuse Rehabilitation Facility
  • Merrillville, IN
National Provider Identifier
1033600390
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Practice address
201 W 89TH Ave
Merrillville, IN 46410-6283
Phone
(219) 472-0066
NPI assigned
May 22, 2018
Last updated
May 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

201 W 89TH Ave
Merrillville, IN 46410-6283

Mailing address

633 E 92ND Ave
Merrillville, IN 46410-8119
Phone (563) 639-4458

Other identifiers 1

IdentifierTypeStateIssuer
1326494758OtherINRESIDENTIAL TREATMENT FACILITY

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
I20180801002988 IN Practitioner - Nurse Practitioner 0749335602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Care Medical Specialists PCGroup PAC ID 7416251590, 7 clinicians

Practice addresses (Care Compare)

1532 Calumet Ave
Dyer, IN 46311-1588
Phone (219) 515-4700

Merit-based Incentive Payment System (MIPS)

Final score
91.08 of 100Reported as group
Quality
90
Improvement activities
40
Cost
66.95

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aims, LLC CurrentSince Jul 1, 2018 Accepting new patients
Advanced Care Medical Specialists, P.C. CurrentSince Jul 1, 2020 Accepting new patients
Pinnacle Treatment Centers in-1, LLC D/B/a Recovery Works Merrillville Substance Abuse Rehabilitation Facility Past Accepting new patients

Locations

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

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.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1033600390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E 92ND AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108119",
            "telephone_number": "563-639-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 89TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106283",
            "telephone_number": "219-472-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PAULA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL TREATMENT FACILITY",
            "identifier": "1326494758",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.