Individual provider Active NPI

Tami Clinkenbeard, NP

  • Family Nurse Practitioner
  • Wheatfield, IN
National Provider Identifier
1033748736
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010488A Issued in IN
Practice address
3988 W State Road 10
Wheatfield, IN 46392-9251
Phone
(219) 987-3581
Fax
(219) 987-7137
NPI assigned
Apr 4, 2020
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 71010488A IN Primary
Family Nurse Practitioner 363LF0000X F01200152 IN

Addresses

Primary practice location

3988 W State Road 10
Wheatfield, IN 46392-9251

Mailing address

2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 364-4004

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tami.clinkenbeard.1@2340.direct.athenahealth.com

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
I20201118001933 IN Practitioner - Nurse Practitioner 6204247570 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Porter Physician Services LLCGroup PAC ID 1850482407, 96 clinicians

Practice addresses (Care Compare)

1764 E State Rd
Suite 163
Clinton, IN 47842-7327
Phone (765) 820-2120

3988 W State Rd
Suite 10
Wheatfield, IN 46392-9251
Phone (219) 270-3400

4152 W State Rd
Suite 56
Hanover, IN 47243-9070
Phone (901) 351-1791

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F01200152INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC CurrentSince Sep 1, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 1, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 25, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 25, 2025 Accepting new patients
Northwest Cancer Centers, PC CurrentSince Apr 1, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 1, 2024 Accepting new patients
FC Indiana, LLC CurrentSince Sep 1, 2024 Accepting new patients
Porter Physician Services LLC Past Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

342 E 109th Ave
Crown Point, IN 46307
Phone (219) 310-2550

1001 Calumet Ave
Dyer, IN 46311
Phone (219) 924-8178

1159 W Jefferson St
Ste 204
Franklin, IN 46131

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

1600 S Lake Park Ave
Ste 1101
Hobart, IN 46342
Phone (219) 947-1795

5510 Franklin St
Michigan City, IN 46360
Phone (219) 809-2600

3800 Saint Mary Rd
Ste 302
Valparaiso, IN 46383
Phone (219) 464-1620

Interoperability endpoints

  • Direct secure messaging: tami.clinkenbeard.1@14191.direct.athenahealth.com
  • Direct secure messaging: tami.clinkenbeard.1@2340.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1033748736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 KELLE DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048708",
            "telephone_number": "219-364-4004",
            "fax_number": "219-326-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3988 W STATE ROAD 10",
            "city": "WHEATFIELD",
            "state": "IN",
            "postal_code": "463929251",
            "telephone_number": "219-987-3581",
            "fax_number": "219-987-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINKENBEARD",
        "first_name": "TAMI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010488A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F01200152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tami.clinkenbeard.1@2340.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR",
            "address_1": "650 Dickinson Rd",
            "city": "Chesterton",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463043387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheatfield, IN

Sources for this page

Verify at the official NPI Registry.