Individual provider Active NPI

Dawn Marie Vandermeer, FNP

  • Family Nurse Practitioner
  • Tinley Park, IL
National Provider Identifier
1124502224
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018520 Issued in IL
Practice address
9551 171St St
Tinley Park, IL 60487-6109
Phone
(708) 873-0062
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28169646A IN
Registered Nurse 163W00000X 041358938 IL
Family Nurse Practitioner 363LF0000X 71008641A IN
Family Nurse Practitioner 363LF0000X 209018520 IL Primary

Addresses

Primary practice location

9551 171St St
Tinley Park, IL 60487-6109

Mailing address

9551 171St St
Tinley Park, IL 60487-6109
Phone (708) 873-0062

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
I20190131000566 IN Practitioner - Nurse Practitioner 8123365020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Housecall Doctors. P.C.Group PAC ID 8022292861, 10 clinicians

Practice addresses (Care Compare)

9030 Cline Ave
Highland, IN 46322-2204
Phone (219) 750-9497

Hospital & facility affiliations

  • Elara Caring Home health agency, Valparaiso, IN, CCN 157095
  • Assured Home Healthcare Inc Home health agency, Schererville, IN, CCN 157581
  • Passionate Care Inc Home health agency, Munster, IN, CCN 157678
  • Powers Home Health Services Home health agency, Hobart, IN, CCN 157313
  • Community Hospital Hospital, Munster, IN, CCN 150125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041358938ILMDRegistered Nurse
28169646AINMDRegistered Nurse
209018520ILMDFamily Nurse Practitioner
71008641AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Doctors. P.C. CurrentSince Dec 13, 2024 Accepting new patients
Housecall Doctors PC Past Accepting new patients

Locations

9030 Cline Ave
Highland, IN 46322
Phone (219) 750-9474

8300 Broadway
Ste D1
Merrillville, IN 46410
Phone (219) 750-9497

Organizations & group practices 2

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 5

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": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1124502224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9551 171ST ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876109",
            "telephone_number": "708-873-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9551 171ST ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876109",
            "telephone_number": "708-873-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMEER",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28169646A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041358938",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008641A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.