Individual provider Active NPI

Abby Marie Levitz, NP-C

  • Family Nurse Practitioner
  • Lagrange, IN
National Provider Identifier
1083918833
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003495A Issued in IN
Practice address
2120 N Detroit St
Lagrange, IN 46761-1147
Phone
(260) 463-2468
Fax
(260) 463-4237
NPI assigned
Jan 7, 2011
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003495A IN Primary

Addresses

Primary practice location

2120 N Detroit St
Lagrange, IN 46761-1147

Mailing address

2120 N Detroit St
Lagrange, IN 46761-1147
Phone (260) 463-2468

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
I20110406000221 IN Practitioner - Nurse Practitioner 9638353246 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003495AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redi-Care Inc P C CurrentSince Feb 24, 2011 Accepting new patients

Locations

2120 N Detroit St
Lagrange, IN 46761
Phone (260) 463-2468

Interoperability endpoints

  • Direct secure messaging: alevitz12310@direct.parkviewexchange.com

Organizations & group practices 1

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": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1083918833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 N DETROIT ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467611147",
            "telephone_number": "260-463-2468",
            "fax_number": "260-463-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N DETROIT ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467611147",
            "telephone_number": "260-463-2468",
            "fax_number": "260-463-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITZ",
        "first_name": "ABBY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003495A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, IN

Sources for this page

Verify at the official NPI Registry.