Individual provider Active NPI

Kayla Spears, NP

  • Nurse Practitioner
  • Michigan City, IN
National Provider Identifier
1114693108
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71011782A Issued in IN
Practice address
6923 W 400 N
Michigan City, IN 46360-9198
Phone
(219) 325-0604
Fax
(219) 879-1401
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28223724A IN
Nurse Practitioner 363L00000X 71011782A IN Primary

Addresses

Primary practice location

6923 W 400 N
Michigan City, IN 46360-9198

Mailing address

6923 W 400 N
Michigan City, IN 46360-9198
Phone (219) 325-0604

Other practice location 1

3207 Willowcreek Rd Ste A
Portage, IN 46368-5013
Phone (219) 763-3636

Other practice location 2

3012 Franklin St
Michigan City, IN 46360-6144
Phone (219) 877-3841

Other names 1

  • Kayla Turner Former name

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
I20220727001648 IN Practitioner - Nurse Practitioner 9032591813 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
La Porte Clinic Company LLCGroup PAC ID 0446558357, 66 clinicians
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians

Practice addresses (Care Compare)

104 E Culver Rd
Knox, IN 46534-2241

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

6923 W 400
Michigan City, IN 46360-9198
Phone (219) 325-0604

Hospital & facility affiliations

  • Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006
  • Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte Clinic Company LLC CurrentSince Jul 1, 2023 Accepting new patients
La Porte Clinic Company LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

1331 State St
Ste 140
La Porte, IN 46350
Phone (219) 324-0014

401 Newport Blvd
Laporte, IN 46350
Phone (219) 326-1775

3012 Franklin St
Michigan City, IN 46360
Phone (219) 877-3841

3777 N Frontage Rd
Ste 500
Michigan City, IN 46360
Phone (219) 809-2889

6923 W 400 N
Michigan City, IN 46360
Phone (219) 325-0604

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.

Hospital & facility affiliations 3

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1114693108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 W 400 N",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609198",
            "telephone_number": "219-325-0604",
            "fax_number": "219-879-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6923 W 400 N",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609198",
            "telephone_number": "219-325-0604",
            "fax_number": "219-879-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3207 Willowcreek Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463685013",
            "country_code": "US",
            "telephone_number": "219-763-3636",
            "fax_number": "219-764-2479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3012 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463606144",
            "country_code": "US",
            "telephone_number": "219-877-3841",
            "fax_number": "219-877-3896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "KAYLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28223724A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71011782A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "TURNER",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.