Active NPI
Ange Danielle Ovide-Fleurant
- Family Nurse Practitioner
- South Bend, IN
National Provider Identifier
1144995606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71011608A
- Practice address
- 1901 W Western Ave
South Bend, IN 46619-3569 - Phone
- (574) 234-9033
- NPI assigned
- Aug 16, 2021
- Last updated
- Feb 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71011608A | IN | Primary |
| Family Nurse Practitioner | 363LF0000X | 28227067A | IN |
Addresses
Primary practice location
1901 W Western Ave
South Bend, IN 46619-3569
Mailing address
8003 Castleway Dr
Indianapolis, IN 46250-1946
Phone (317) 576-1335
Other practice location 1
422 W McKinley Ave Ste B
Mishawaka, IN 46545-5522
Phone (574) 666-2573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300055613 | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
422 W McKinley Ave
Suite B
Mishawaka, IN 46545-5522
Phone (574) 666-2573
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28227067A | IN | MD | Family Nurse Practitioner |
| 71011608A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh-in Physicians Group, PC | Multi-Specialty | Current | Accepting new patients |
| Oak Street Health Physicians Group, PC | Multi-Specialty | Past | Accepting new patients |
Locations
422 W McKinley Ave
Ste B
Mishawaka, IN 46545
Phone (574) 666-2571
5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730
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.
-
- Primary Care Clinic/Center
- Indianapolis, IN
- NPI 1073995338
Multi-Specialty
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
Multi-Specialty
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
dba Memorial Epworth Center
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
dba Beacon Granger Hospital, A Memorial Hospital Extension
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
dba Saint Joseph VNA Home Care
- Home Health Agency
- South Bend, IN
- NPI 1093746562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1144995606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8003 CASTLEWAY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462501946",
"telephone_number": "317-576-1335",
"fax_number": "317-343-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W WESTERN AVE",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466193569",
"telephone_number": "574-234-9033"
}
],
"practiceLocations": [
{
"address_1": "422 W McKinley Ave Ste B",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465455522",
"country_code": "US",
"telephone_number": "574-666-2573",
"fax_number": "574-966-1437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OVIDE-FLEURANT",
"first_name": "ANGE",
"middle_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011608A",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28227067A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300055613",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.