Individual provider Active NPI

Antoinette Perez, NP

  • Nurse Practitioner
  • Munster, IN
National Provider Identifier
1164399952
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71017225A Issued in IN
Practice address
10010 Donald Powers Drive
Munster, IN 46321-4054
Phone
(219) 934-4200
NPI assigned
Oct 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71017225A IN Primary

Addresses

Primary practice location

10010 Donald Powers Drive
Munster, IN 46321-4054

Mailing address

10010 Donald Powers Drive
Munster, IN 46321-4054

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
I20251027002596 IN Practitioner - Nurse Practitioner 1355830829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10010 Don S Powers Dr
Munster, IN 46321-4054

1217 US Hwy 41
Schererville, IN 46375

646 Laurel Dr
Dyer, IN 46311-2230

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71017225AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Consultants PC CurrentSince Oct 6, 2025 Accepting new patients

Locations

10010 Donald S Powers Dr
Munster, IN 46321
Phone (219) 934-4209

1217 US Highway 41
Schererville, IN 46375
Phone (219) 322-6767

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBEIBA

Organizations & group practices 1

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": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1164399952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 DONALD POWERS DRIVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 DONALD POWERS DRIVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214054",
            "telephone_number": "219-934-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANTOINETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71017225A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.