Tami Clinkenbeard, NP
Individual provider Active NPI Family Nurse Practitioner · Wheatfield, IN
NPI 1033748736 · NPPES record last updated Mar 3, 2026
Key facts
- NPI
- 1033748736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71010488A (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Porter Physician Services LLC
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
- Northwest Health - Porter
- Franciscan Health Crown Point
- Franciscan Health Rensselaer, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201118001933 | IN | Practitioner - Nurse Practitioner | 6204247570 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F01200152 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FC Indiana, LLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| FC Indiana, LLC | Current |
Accepting new patients | |
| Northwest Cancer Centers, PC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
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
- tami.clinkenbeard.1@14191.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71010488A | IN | Yes |
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tami.clinkenbeard.1@2340.direct.athenahealth.com |
Other providers in Wheatfield, IN
- Vanessa Carroll
- Thomas J Carter
- Christian Haven, Inc.
- Tiffany Conley
- Jessica Jean Deboer
- Corinne Michelle Djuric
- Franciscan Health Rensselaer, Inc.
- Franciscan Health Rensselaer, Inc.
All providers in Wheatfield, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.