Rebecca L Allen-Legault, FNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Granger, IN
NPI 1104892371 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1104892371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 71000950A (IN)
- Practice address
- 6910 N Main St Unit 52
Granger, IN 46530-8412 - Phone
- (574) 231-6766
- Fax
- (833) 249-2411
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
50755 Timothy Rd
New Carlisle, IN 46552-9636
Phone (574) 272-0100
Merit-based Incentive Payment System (MIPS)
- Final score
- 46.01 of 100
- Quality
- 31.67
- Improvement activities
- 0
- Cost
- 77.8
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 |
|---|---|---|---|---|
| I20040616000044 | IN | Practitioner - Nurse Practitioner | 0648254888 | Practice locations: New Carlisle, IN; Granger, IN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000950A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Behavior Management Specialists, Inc. | Current |
Accepting new patients | |
| Saint Joseph Community Hospital of Mishawaka | Past | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Past | Accepting new patients |
Locations
6910 N Main St
Unit 52
Granger, IN 46530
Phone (574) 231-6766
1950 Ridgedale Rd
South Bend, IN 46614
Phone (571) 291-6722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71000950A | IN | Yes |
Addresses
Primary practice location
6910 N Main St Unit 52
Granger, IN 46530-8412
Mailing address
50755 Timothy Rd
New Carlisle, IN 46552-9636
Phone (574) 210-1850
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200279550 | Medicaid | IN |
Other names
- Rebecca L Allen
Other providers in Granger, IN
- Roni Aizigov
- Abdulhamid Dahan Al-Fadhl
- Mahmoud Al-Fadhl
- Align to Health
- Allcare Dental & Dentures of in PC
- Am Brooks Enterprises, LLC
- Ambassador'S Grove Housing LLC
- America'S Best Contacts & Eyeglasses
- Robert John Amico
- David William Amrhein
All providers in Granger, IN · Psychiatric/Mental Health 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 Aug 6, 2025. 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.