Individual provider Active NPI

Angela Lebeter

  • Family Nurse Practitioner
  • Highland, IN
National Provider Identifier
1144895418
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011112A Issued in IN
Practice address
9696 Gordon Dr
Highland, IN 46322-2909
Phone
(219) 937-2511
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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 71011112A IN Primary

Addresses

Primary practice location

9696 Gordon Dr
Highland, IN 46322-2909

Mailing address

10315 Saint James PL
Munster, IN 46321-4393
Phone (773) 480-4572

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
I20210923001430 IN Practitioner - Nurse Practitioner 8123425865 Reassigns benefits to 1 organization

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
Columbia Medical Center LTDGroup PAC ID 7618957226, 6 clinicians

Practice addresses (Care Compare)

9696 Gordon Dr
Highland, IN 46322-2909
Phone (219) 937-2511

Hospital & facility affiliations

  • Community Hospital Hospital, Munster, IN, CCN 150125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71011112AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Indiana Id Associates PC Current Accepting new patients
Columbia Medical Center LTD CurrentSince Jun 24, 2021 Accepting new patients

Locations

9696 Gordon Dr
Highland, IN 46322
Phone (219) 937-2511

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 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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1144895418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 SAINT JAMES PL",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214393",
            "telephone_number": "773-480-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9696 GORDON DR",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222909",
            "telephone_number": "219-937-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBETER",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011112A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.