Active NPI
Angela M Vanderberg, FNP-BC, PMHNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71003513
- Practice address
- 2646 W Lincoln Hwy Ste a
Merrillville, IN 46410-5235 - Phone
- (219) 444-7946
- Fax
- (219) 444-4398
- NPI assigned
- Jan 6, 2011
- Last updated
- Sep 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71003513 | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71003513 | IN | Primary |
Addresses
Primary practice location
2646 W Lincoln Hwy Ste a
Merrillville, IN 46410-5235
Mailing address
3217 W 121St Ave
Crown Point, IN 46307-8745
Phone (219) 444-7946
Other practice location 1
7891 Broadway Ste F
Merrillville, IN 46410-5556
Phone (219) 444-7946
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IN2007010 | Other | IN | MEDICARE PTAN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003513 | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Wellness Medical LLC | Family | Current | Accepting new patients |
Locations
2646 W Lincoln Hwy
Ste A
Merrillville, IN 46410
Phone (219) 444-7946
7805 Taft St
Ste E
Merrillville, IN 46410
Phone (219) 230-4667
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Personal Wellness Psychiatric Services
- Psychiatric/Mental Health Nurse Practitioner
- Merrillville, IN
- NPI 1477414621
Family
-
- Primary Care Clinic/Center
- Crown Point, IN
- NPI 1770935355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789862400000",
"number": "1093019994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 W 121ST AVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078745",
"telephone_number": "219-444-7946",
"fax_number": "219-444-4398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2646 W LINCOLN HWY STE A",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105235",
"telephone_number": "219-444-7946",
"fax_number": "219-444-4398"
}
],
"practiceLocations": [
{
"address_1": "7891 Broadway Ste F",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464105556",
"country_code": "US",
"telephone_number": "219-444-7946",
"fax_number": "219-444-4398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERBERG",
"first_name": "ANGELA",
"middle_name": "M",
"credential": "FNP-BC, PMHNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-06",
"last_updated": "2026-09-20",
"certification_date": "2026-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71003513",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71003513",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IN2007010",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.