Individual provider Active NPI

Rebekah J Vega, FNP

  • Family Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1164814851
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005374B Issued in IN
Practice address
5521 W Lincoln Hwy Ste 1a
Crown Point, IN 46307
Phone
(219) 769-1362
Fax
(219) 836-1072
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28164474A IN
Family Nurse Practitioner 363LF0000X 71005374B IN Primary

Addresses

Primary practice location

5521 W Lincoln Hwy Ste 1a
Crown Point, IN 46307

Mailing address

5521 W Lincoln Hwy Ste 1a
Crown Point, IN 46307-1098
Phone (219) 769-1362

Other practice location 1

10110 Don Powers Dr
101B
Munster, IN 46321-4069
Phone (219) 924-8178

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
I20150325002276 IN Practitioner - Nurse Practitioner 7517284805 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 4 LLCGroup PAC ID 4284909615, 64 clinicians
Midwest Express Care, IncGroup PAC ID 5193957595, 31 clinicians
Nwi Urgent Care, LLCGroup PAC ID 7618142977, 45 clinicians

Practice addresses (Care Compare)

129 E 107TH Ave
Crown Point, IN 46307-6517
Phone (219) 662-4134

1500 Indianapolis Blvd
Schererville, IN 46375-1316
Phone (219) 440-7373

31 E Sibley St
Suite a
Hammond, IN 46320-1725
Phone (219) 802-8800

5521 W Lincoln Hwy
Suite 1a
Crown Point, IN 46307-1098
Phone (219) 769-1362

8135 Calumet Ave
Munster, IN 46321-1701
Phone (219) 513-2000

875 Joliet St
Dyer, IN 46311-1920
Phone (219) 440-7340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28164474AINMDRegistered Nurse
71005374BINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Cancer Centers, PC CurrentSince Mar 2, 2015 Accepting new patients
Nwi Urgent Care, LLC CurrentSince Sep 15, 2019 Accepting new patients
The Methodist Hospitals, Inc PastSince Sep 15, 2019 Accepting new patients

Locations

5521 W US Highway 30
Ste 1A
Crown Point, IN 46307
Phone (219) 769-1362

1001 Calumet Ave
Dyer, IN 46311
Phone (219) 924-8178

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

1600 S Lake Park Ave
Ste 1101
Hobart, IN 46342
Phone (219) 947-1795

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

10110 Donald S Powers Dr
Ste 101B
Munster, IN 46321
Phone (219) 961-8480

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1164814851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 W LINCOLN HWY STE 1A",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071098",
            "telephone_number": "219-769-1362",
            "fax_number": "219-836-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 W LINCOLN HWY STE 1A",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-769-1362",
            "fax_number": "219-836-1072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10110 Don Powers Dr",
            "address_2": "101B",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463214069",
            "country_code": "US",
            "telephone_number": "219-924-8178",
            "fax_number": "219-924-8179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA",
        "first_name": "REBEKAH",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28164474A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005374B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.