Individual provider Active NPI

Allison Elise Kinder, ANP-BC

  • Nurse Practitioner
  • Michigan City, IN
National Provider Identifier
1043655210
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71009920A Issued in IN
Practice address
8955 W 400 N
Michigan City, IN 46360-9330
Phone
(219) 861-5544
Fax
(219) 861-5800
NPI assigned
May 1, 2013
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71009920A IN Primary

Addresses

Primary practice location

8955 W 400 N
Michigan City, IN 46360-9330

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

4711 Golf Rd Ste 1250
Skokie, IL 60076-1224
Phone (847) 235-6130

Other practice location 2

4815 S Western Blvd
Chicago, IL 60609-4067
Phone (773) 927-4200

Other identifiers 1

IdentifierTypeStateIssuer
209010385OtherILLICENSED ADVANCED PRACTICE NURSE

Other names 1

  • Allison Mueller Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akinder529795@Direct.FranciscanAlliance.org Direct

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
I20200403001123 IN Practitioner - Nurse Practitioner 6608000740 Reassigns benefits to 2 organizations

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
Porter Physician Services LLCGroup PAC ID 1850482407, 96 clinicians

Practice addresses (Care Compare)

2400 Silhavy Rd
Valparaiso, IN 46383-3275
Phone (219) 462-2106

2505 Calumet Ave
Valparaiso, IN 46383-2715
Phone (219) 548-3843

650 Dickinson Rd
Chesterton, IN 46304-3387

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71009920AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Physician Services LLC Nurse Practitioner CurrentSince Jan 3, 2025 Accepting new patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Apr 1, 2020 Accepting new patients
Porter Physician Services LLC Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

4111 Park Place Dr
Fort Wayne, IN 46845
Phone (260) 373-2111

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

5909 Lute Rd
Portage, IN 46368
Phone (219) 462-4411

Interoperability endpoints

  • Direct secure messaging: akinder529795@direct.franciscanalliance.org
  • Direct secure messaging: allison.kinder.1@2340.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1043655210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 W 400 N",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609330",
            "telephone_number": "219-861-5544",
            "fax_number": "219-861-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4711 Golf Rd Ste 1250",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600761224",
            "country_code": "US",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4815 S Western Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606094067",
            "country_code": "US",
            "telephone_number": "773-927-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDER",
        "first_name": "ALLISON",
        "middle_name": "ELISE",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009920A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ADVANCED PRACTICE NURSE",
            "identifier": "209010385",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akinder529795@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "701 Superior Ave Ste O",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463214038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "MUELLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.