Individual provider Active NPI

Brittany Voogt

  • Family Nurse Practitioner
  • Cedar Lake, IN
National Provider Identifier
1043891682
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011380A Issued in IN
Practice address
9861 Lincoln Plaza Way
Cedar Lake, IN 46303-7301
Phone
(219) 401-8968
Fax
(219) 401-8981
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28254530A IN
Family Nurse Practitioner 363LF0000X 71011380A IN Primary

Addresses

Primary practice location

9861 Lincoln Plaza Way
Cedar Lake, IN 46303-7301

Mailing address

9861 Lincoln Plaza Way
Cedar Lake, IN 46303-7301
Phone (219) 401-8968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210805003324 IN Practitioner - Nurse Practitioner 3072917517 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28254530AINMDRegistered Nurse
71011380AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Urgent Care, LLC CurrentSince Jul 29, 2021 Accepting new patients
The Methodist Hospitals, Inc PastSince Jul 29, 2021 Accepting new patients

Locations

5521 W US Highway 30
Ste 1A
Crown Point, IN 46307
Phone (219) 769-1362

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

5043 E Lincoln Hwy
Merrillville, IN 46410
Phone (219) 554-3290

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1043891682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9861 LINCOLN PLAZA WAY",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463037301",
            "telephone_number": "219-401-8968",
            "fax_number": "219-401-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9861 LINCOLN PLAZA WAY",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463037301",
            "telephone_number": "219-401-8968",
            "fax_number": "219-401-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOOGT",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28254530A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011380A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Lake, IN

Sources for this page

Verify at the official NPI Registry.