Individual provider Active NPI

Amanda Stolarz, MSN, FNP-C

  • Family Nurse Practitioner
  • Cedar Lake, IN
National Provider Identifier
1124774724
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012330A Issued in IN
Practice address
13963 Morse St
Cedar Lake, IN 46303-9639
Phone
(219) 374-5555
Fax
(219) 374-6669
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012330A IN Primary
Family Nurse Practitioner 363LF0000X 28222790A IN

Addresses

Primary practice location

13963 Morse St
Cedar Lake, IN 46303-9639

Mailing address

8558 Broadway
Merrillville, IN 46410-7032
Phone (193) 927-0842

Other names 1

  • Amanda Albin 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
I20220304001400 IN Practitioner - Nurse Practitioner 9234523440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
219 Health Network IncGroup PAC ID 0547521452, 70 clinicians

Practice addresses (Care Compare)

13963 Morse St
Cedar Lake, IN 46303-9639
Phone (219) 374-5555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
71012330AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
219 Health Network Inc Family CurrentSince Sep 26, 2022 Accepting new patients
219 Health Network, Inc. CurrentSince Sep 26, 2022 Accepting new patients
Community Care Network Inc CurrentSince Apr 4, 2022 Accepting new patients

Locations

13963 Morse St
#B
Cedar Lake, IN 46303
Phone (219) 374-5555

13963 Morse St
Cedar Lake, IN 46303
Phone (219) 374-2400

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

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

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

Interoperability endpoints

  • Direct secure messaging: aalbin40144@ssdirect.comhs.org

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 6

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1124774724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "193-927-0842",
            "fax_number": "219-703-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13963 MORSE ST",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039639",
            "telephone_number": "219-374-5555",
            "fax_number": "219-374-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLARZ",
        "first_name": "AMANDA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012330A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28222790A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ALBIN",
            "credential": "MSN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Lake, IN

Sources for this page

Verify at the official NPI Registry.