Individual provider Active NPI

Lisa M Pazdur, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Dyer, IN
National Provider Identifier
1144269168
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000717A Issued in IN
Practice address
2150 Gettler St Ste 305
Dyer, IN 46311-2381
Phone
(219) 864-2630
Fax
(219) 864-2638
NPI assigned
Jun 5, 2006
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71000717 IN
Nurse Practitioner 363L00000X 71000717A IN
Family Nurse Practitioner 363LF0000X 71000717A IN Primary

Addresses

Primary practice location

2150 Gettler St Ste 305
Dyer, IN 46311-2381

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other identifiers 2

IdentifierTypeStateIssuer
200286330MedicaidIN
200286330AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lpazdur110450@Direct.FranciscanAlliance.org Direct

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
I20110425000253 IN Practitioner - Nurse Practitioner 9335324078 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71000717INMDNurse Practitioner
71000717AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists Inc., P.C. Current Accepting new patients

Locations

757 45th St
Ste 201
Munster, IN 46321
Phone (219) 922-5550

761 45th St
Ste 103
Munster, IN 46321
Phone (219) 922-3002

2001 US Highway 41
Schererville, IN 46375
Phone (219) 365-0970

Interoperability endpoints

  • Direct secure messaging: lpazdur110450@direct.franciscanalliance.org

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1144269168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 GETTLER ST STE 305",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112381",
            "telephone_number": "219-864-2630",
            "fax_number": "219-864-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZDUR",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000717",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000717A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000717A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200286330",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200286330A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpazdur110450@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "757 45th St Ste 201",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463212912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.