Individual provider Active NPI

Brett Allen Milkevitch, FNP

  • Family Nurse Practitioner
  • Munster, IN
National Provider Identifier
1053768051
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012724A Issued in IN
Practice address
7905 Calumet Ave
Munster, IN 46321-2549
Phone
(219) 836-5800
Fax
(219) 836-3048
NPI assigned
May 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 041374538 IL
Family Nurse Practitioner 363LF0000X 28274402A IN
Family Nurse Practitioner 363LF0000X 209014299 IL
Family Nurse Practitioner 363LF0000X 71012724A IN Primary

Addresses

Primary practice location

7905 Calumet Ave
Munster, IN 46321-2549

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
F400323118OtherMEDICARE PTAN FRANCISCAN PHYSICIAN NETWORK

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bmilkevitch103827@Direct.FranciscanAlliance.org Direct
Direct Messaging Address bmilkevitch103827@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
I20220809003533 IN Practitioner - Nurse Practitioner 4789970492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

4111 Franklin St
Michigan City, IN 46360-7803
Phone (219) 873-2919

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041374538ILMDFamily Nurse Practitioner
209014299ILMDFamily Nurse Practitioner
28274402AINMDFamily Nurse Practitioner
71012724AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network Current Accepting new patients
Franciscan Physician Network CurrentSince Jul 17, 2022 Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

211 Dixie Hwy
Chicago Heights, IL 60411
Phone (708) 709-6535

20180 S Lagrange Rd
Frankfort, IL 60423
Phone (630) 362-1035

18636 Dixie Hwy
Homewood, IL 60430
Phone (708) 647-0571

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

3700 W 203rd St
Ste 103
Olympia Flds, IL 60461
Phone (708) 679-2130

16650 Harlem Ave
Ste 1
Tinley Park, IL 60477
Phone (708) 444-0484

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

4111 Franklin St
Michigan City, IN 46360
Phone (219) 873-2919

7905 Calumet Ave
Munster, IN 46321
Phone (219) 836-5800

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: bmilkevitch103827@direct.franciscanalliance.org

Organizations & group practices 2

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": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1053768051",
    "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",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212549",
            "telephone_number": "219-836-5800",
            "fax_number": "219-836-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILKEVITCH",
        "first_name": "BRETT",
        "middle_name": "ALLEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-19",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041374538",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28274402A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014299",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012724A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FRANCISCAN PHYSICIAN NETWORK",
            "identifier": "F400323118",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmilkevitch103827@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "211 Dixie Hwy",
            "city": "Chicago Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604111696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmilkevitch103827@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7905 Calumet Ave",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463212549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.