Snezana Barancyk, RN FNP
Individual provider Active NPI Family Nurse Practitioner · St John, IN
NPI 1104811637 · NPPES record last updated Jun 17, 2010
Key facts
- NPI
- 1104811637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71001370A (IN)
- Practice address
- 9660 Wicker Avenue
St John, IN 46373-9487 - Phone
- (219) 365-1166
- Fax
- (219) 365-8852
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care Network Inc
Practice addresses (Care Compare)
9130 Columbia Ave
Munster, IN 46321-2932
9660 Wicker Ave
Saint John, IN 46373-9487
Hospital & facility affiliations
- Franciscan Home Care
- Powers Home Health Services
- Community Hospital
- Franciscan Health Crown Point
- St Mary Medical Center Inc
- St Catherine Hospital Inc
- Powers Health Rehabilitation Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040818000242 | IN | Practitioner - Nurse Practitioner | 2466425384 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001370A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Current |
Accepting new patients | |
| Sterling Emergency Services of Indiana, Inc | Past | Accepting new patients | |
| Sterling Emergency Services of Indiana, Inc | Past | Accepting new patients |
Locations
4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
9307 Calumet Ave
Ste A2
Munster, IN 46321
Phone (219) 836-2274
9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203
Interoperability endpoints
- sbarancyk1514@ssdirect.comhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71001370A | IN | Yes |
Addresses
Primary practice location
9660 Wicker Avenue
St John, IN 46373-9487
Mailing address
9660 Wicker Avenue
St John, IN 46373-9487
Phone (219) 365-1166
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200466450 | Medicaid | IN |
Other providers in St John, IN
- Cortney Baczkowicz
- Daniel Michael Bade
- Stephanie Ann Baer
- Jessica Lynn Bakker
- Nikole Milka Barach
- Julianna Racquel Bartoszek
- BDD of Indiana P.C.
- Kyla Bender
- Robert Berndl
- Abigail Mae Boersma
All providers in St John, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.