NPIMap

Organization Active NPI

Uchicago Medicine Northwest Indiana Inc

  • General Acute Care Hospital
  • Crown Point, IN
National Provider Identifier
1144914532
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
UCHICAGO MEDICINE NORTHWEST INDIANA INC
Practice address
10855 Virginia St
Crown Point, IN 46307-0210
Phone
(999) 999-9999
NPI assigned
Jun 7, 2023
Last updated
Mar 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Nicole Fountain
Title
Vice President Revenue Cycle
Phone
(773) 834-5895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

10855 Virginia St
Crown Point, IN 46307-0210

Mailing address

10855 Virginia St
Crown Point, IN 46307-0210

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240411002770 IN Part A Provider - Hospital 2860831781 Practice locations: Crown Point, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144914532. Details of each certification follow.

Hospital certification: CCN 150195

Legal name
UCHICAGO MEDICINE NORTHWEST INDIANA INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 31, 2024
Last certification
Jul 31, 2024
Beds
8
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
10855 Virginia St
Crown Point, IN 46307-0210
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Uchicago Medicine Northwest IndianaCCN 150195 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Uchicago Medicine Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10855 Virginia St
Crown Point, IN 46307
Phone (219) 407-5500

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lauren Hull Individual Corporate OfficerChief Administrative Officer Apr 15, 2022 20%
Phillip Kaufman Individual Corporate DirectorVP Finance Shared Services Apr 15, 2002 20%
Michelle Salomon Individual Corporate Officer Jan 17, 2025
Krista M Curell Individual Corporate DirectorVP Chief Operating Officer Apr 15, 2022 20%
Suzanne Lestina Individual W-2 Managing EmployeeExecutive Director Revenue Apr 15, 2022
Jennifer a Hill Individual Corporate DirectorChief of Staff Apr 15, 2022 20%
Michael a McGee Individual Corporate Director Jan 17, 2025
The University of Chicago Medical Center Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Mar 23, 2022 100%
University of Chicago Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Mar 23, 2022 100%
Nicole Fountain Individual Corporate OfficerVP Revenue Cycle Apr 15, 2022
Judy Davidson Individual Corporate Director Jan 17, 2025
Uchicago Medicine Network, Inc. Organization, Harvey, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 17, 2025 100%

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 22

Practitioners & affiliated clinicians

Affiliated clinicians 274

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 274

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1144914532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10855 VIRGINIA ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463070210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10855 VIRGINIA ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463070210",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCHICAGO MEDICINE NORTHWEST INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "FOUNTAIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "VICE PRESIDENT REVENUE CYCLE",
        "authorized_official_telephone_number": "773-834-5895"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.