Rachael E Callaway, RN, BSN, FNP
Individual provider Active NPI Family Nurse Practitioner · Chesterton, IN
NPI 1053663401 · NPPES record last updated Dec 23, 2022
Key facts
- NPI
- 1053663401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71004230A (IN)
- Practice address
- 770 Indian Boundary Rd Ste 200
Chesterton, IN 46304-1519 - Phone
- (219) 921-2000
- Fax
- (219) 395-8770
- NPI assigned
- Oct 10, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Chesterton Physical Therapy Inc
Franciscan Physician Network
Practice addresses (Care Compare)
425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589
770 Indian Boundary Rd
Suite 203
Chesterton, IN 46304-1519
Phone (219) 921-2000
Hospital & facility affiliations
- Franciscan Health Michigan City
- Franciscan Health Crown Point
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 |
|---|---|---|---|---|
| I20130423000202 | IN | Practitioner - Nurse Practitioner | 6800032640 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71004230A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current |
Accepting new patients | |
| Obstetrical and Gynecological Associates, Inc | Current |
Accepting new patients | |
| Franciscan Physician Network | Current |
Accepting new patients |
Locations
770 Indian Boundary Rd
Ste 200
Chesterton, IN 46304
Phone (219) 921-2000
770 Indian Boundary Rd
Ste 203
Chesterton, IN 46304
Phone (219) 878-8200
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
85 E US Highway 6
Ste 330
Valparaiso, IN 46383
Phone (219) 462-6144
Interoperability endpoints
- rcallaway56935@direct.franciscanalliance.org
- https://api.platform.athenahealth.com/7833/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71004230A | IN | Yes |
Addresses
Primary practice location
770 Indian Boundary Rd Ste 200
Chesterton, IN 46304-1519
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
85 East US Highway 6
Suite 330
Valparaiso, IN 46383
Phone (219) 462-6144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011131800 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rcallaway56935@Direct.FranciscanAlliance.org | Direct |
Other providers in Chesterton, IN
- Mary Lee Buckman
- Steven Michael Bunag
- Carolyn Bunton-Knoll
- Nathan Tyler Bush
- Adrian Caguia
- Ashley Nicole Campbell
- Sandra Jennifer Carmichael
- Kaitlyn Michele Carr
- Cartref Services, LLC
- Kimberly Elizabeth Chambers
All providers in Chesterton, 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 Dec 23, 2022. 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.