Individual provider Active NPI

Marylynn Katherine Barnes, DNP

  • Family Nurse Practitioner
  • Highland, IN
National Provider Identifier
1124540687
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007275A Issued in IN
Practice address
3100 45TH St
Highland, IN 46322-3289
Phone
(219) 922-6911
Fax
(219) 922-6968
NPI assigned
Jul 16, 2017
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 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 71007275A IN Primary

Addresses

Primary practice location

3100 45TH St
Highland, IN 46322-3289

Mailing address

3100 45TH St Ste 4
Highland, IN 46322-3277
Phone (219) 922-6911

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
I20181205000465 IN Practitioner - Nurse Practitioner 0143564906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

7651 Harvest Dr
Schererville, IN 46375-3476
Phone (219) 322-5723

9130 Columbia Ave
Munster, IN 46321-2932

9660 Wicker Ave
Saint John, IN 46373-9487

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71007275AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
219 Health Network Inc Family CurrentSince Sep 1, 2023 Accepting new patients
219 Health Network, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Community Care Network Inc CurrentSince Oct 27, 2018 Accepting new patients

Locations

100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016

3100 45th St
Highland, IN 46322
Phone (219) 922-6099

3100 45th St
Ste 3
Highland, IN 46322
Phone (219) 922-6911

3100 45th St
Ste 4
Highland, IN 46322
Phone (219) 922-6911

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1500163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1124540687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 45TH ST STE 4",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223277",
            "telephone_number": "219-922-6911",
            "fax_number": "219-922-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223289",
            "telephone_number": "219-922-6911",
            "fax_number": "219-922-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "MARYLYNN",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-16",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007275A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.