Individual provider Active NPI

Nneka Florence Robertson, FNP

  • Family Nurse Practitioner
  • Highland, IN
National Provider Identifier
1104649367
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015555A Issued in IN
Practice address
8938 Branton Ave
Highland, IN 46322-1801
Phone
(773) 683-7153
NPI assigned
Nov 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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 71015555A IN Primary

Addresses

Primary practice location

8938 Branton Ave
Highland, IN 46322-1801

Mailing address

8938 Branton Ave
Highland, IN 46322-1801
Phone (773) 683-7153

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
I20260228000423 IN Practitioner - Nurse Practitioner 0941782858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premise Health of Indiana Medical PCGroup PAC ID 0446220610, 7 clinicians

Practice addresses (Care Compare)

8900 Broadway
Merrillville, IN 46410-7040
Phone (219) 525-1150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71015555AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Indiana Medical PC CurrentSince Jan 25, 2026 Accepting new patients
Premise Health of Indiana Medical PC CurrentSince Jan 25, 2026 Accepting new patients

Locations

8900 Broadway
Merrillville, IN 46410
Phone (219) 252-2173

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1104649367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8938 BRANTON AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221801",
            "telephone_number": "773-683-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8938 BRANTON AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221801",
            "telephone_number": "773-683-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "NNEKA",
        "middle_name": "FLORENCE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015555A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.