Individual provider Active NPI

Tamara Vogel

  • Family Nurse Practitioner
  • Chesterton, IN
National Provider Identifier
1043085418
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28197817A Issued in IN
Practice address
810 Michael Dr Ste E
Chesterton, IN 46304-2695
Phone
(219) 921-2095
Fax
(219) 533-4014
NPI assigned
Nov 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28197817A IN Primary

Addresses

Primary practice location

810 Michael Dr Ste E
Chesterton, IN 46304-2695

Mailing address

6908 W 200 N
La Porte, IN 46350-9734
Phone (219) 921-2095

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
I20231204000898 IN Practitioner - Nurse Practitioner 9830547710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Demko Group LLCGroup PAC ID 5395165013, 2 clinicians

Practice addresses (Care Compare)

810 Michael Dr E
Demko Clinic
Chesterton, IN 46304-2695
Phone (219) 921-2095

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Demko Group LLC Family CurrentSince Nov 27, 2023 Accepting new patients

Locations

810 Michael Dr
Ste E
Chesterton, IN 46304
Phone (219) 878-5035

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1043085418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 W 200 N",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463509734",
            "telephone_number": "219-921-2095",
            "fax_number": "219-533-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MICHAEL DR STE E",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042695",
            "telephone_number": "219-921-2095",
            "fax_number": "219-533-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28197817A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterton, IN

Sources for this page

Verify at the official NPI Registry.