Individual provider Active NPI

Erin A Husch

  • Nurse Practitioner
  • Wheatfield, IN
National Provider Identifier
1063756138
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28162017A Issued in IN
Practice address
492 S Bierma St
Wheatfield, IN 46392-6004
Phone
(219) 956-2110
NPI assigned
Nov 15, 2012
Last updated
Nov 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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 28162017A IN Primary

Addresses

Primary practice location

492 S Bierma St
Wheatfield, IN 46392-6004

Mailing address

492 S Bierma St
P.O. Box 247
Wheatfield, IN 46392-6004
Phone (219) 956-2110

Other names 1

  • Erin A Sommervold Former name

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
I20130516000308 IN Practitioner - Nurse Practitioner 3476790106 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28162017AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Past Accepting new patients
Sheets Family Practice P.C. Inc. PastSince Mar 17, 2015 Accepting new patients
Vein Associates of Northwest Indiana LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12167/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1063756138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 S BIERMA ST",
            "address_2": "P.O. BOX 247",
            "city": "WHEATFIELD",
            "state": "IN",
            "postal_code": "463926004",
            "telephone_number": "219-956-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 S BIERMA ST",
            "city": "WHEATFIELD",
            "state": "IN",
            "postal_code": "463926004",
            "telephone_number": "219-956-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSCH",
        "first_name": "ERIN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28162017A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SOMMERVOLD",
            "middle_name": "A",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheatfield, IN

Sources for this page

Verify at the official NPI Registry.