Individual provider Active NPI

Annalisa Sperka, FNP-C

  • Nurse Practitioner
  • Avon, IN
National Provider Identifier
1104499607
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71011347A Issued in IN
Practice address
4171 Forest Point Cir
Avon, IN 46123-6668
Phone
(317) 745-5184
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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 71011347A IN Primary

Addresses

Primary practice location

4171 Forest Point Cir
Avon, IN 46123-6668

Mailing address

8495 Abernethy LN
Brownsburg, IN 46112-7010
Phone (317) 523-1400

Other practice location 1

651 S State St
Franklin, IN 46131-2552
Phone (317) 736-6414

Other practice location 2

651 S State St
Franklin, IN 46131-2552
Phone (317) 736-6414

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
I20210804001482 IN Practitioner - Nurse Practitioner 1254735863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

1901 Taylor Rd
Columbus, IN 47203-3908
Phone (812) 372-8481

221 W Division St
Demotte, IN 46310-8377
Phone (219) 987-7005

4111 Park Place Dr
Fort Wayne, IN 46845-6002
Phone (260) 373-2111

4171 Forest Point Cir
Avon, IN 46123-6668
Phone (317) 745-5184

651 S State St
Homeview Health and Rehabilitation
Franklin, IN 46131-2552
Phone (317) 736-6414

Hospital & facility affiliations

  • Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Jul 26, 2021 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

4171 Forest Point Cir
Avon, IN 46123
Phone (317) 745-5184

1901 Taylor Rd
Columbus, IN 47203
Phone (812) 372-8481

4111 Park Place Dr
Fort Wayne, IN 46845
Phone (260) 373-2111

651 S State St
Franklin, IN 46131
Phone (317) 736-6414

6440 W 34th St
Indianapolis, IN 46224
Phone (317) 293-4930

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1104499607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8495 ABERNETHY LN",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127010",
            "telephone_number": "317-523-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 FOREST POINT CIR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236668",
            "telephone_number": "317-745-5184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 S State St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461312552",
            "country_code": "US",
            "telephone_number": "317-736-6414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 S State St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461312552",
            "country_code": "US",
            "telephone_number": "317-736-6414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPERKA",
        "first_name": "ANNALISA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71011347A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.