Active NPI
Jennifer J Sabuda, FNP-BC
- Family Nurse Practitioner
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28164729A
- Practice address
- 7863 Broadway Ste 140
Merrillville, IN 46410-5563 - Phone
- (219) 769-3678
- Fax
- (219) 736-5638
- NPI assigned
- Sep 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28164729A | IN | Primary |
Addresses
Primary practice location
7863 Broadway Ste 140
Merrillville, IN 46410-5563
Mailing address
7863 Broadway Ste 140
Merrillville, IN 46410-5563
Phone (219) 769-3678
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 Saint Mary Rd
Suite 302
Valparaiso, IN 46383-3986
Phone (219) 464-1620
Hospital & facility affiliations
- St Mary Medical Center Inc
- Franciscan Health Michigan City
- Northwest Health-la Porte
- Northwest Health - Porter
- Northwest Health - Starke
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28164729A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Cancer Centers, PC | Current | Accepting new patients | |
| Community Care Network Inc | Current | Accepting new patients |
Locations
10191 Broadway
#200
Crown Point, IN 46307
Phone (219) 924-8178
342 E 109th Ave
Crown Point, IN 46307
Phone (219) 310-2550
1001 Calumet Ave
Dyer, IN 46311
Phone (219) 924-8178
1600 S Lake Park Ave
Ste 1101
Hobart, IN 46342
Phone (219) 947-1795
1400 S Lake Park Ave
Ste 304
Hobart, IN 46342
Phone (219) 947-6638
1331 State St
Ste 270
La Porte, IN 46350
Phone (219) 236-0943
1331 State St
Ste 240
La Porte, IN 46350
Phone (219) 326-0943
9235 Broadway
Merrillville, IN 46410
Phone (219) 738-2255
7863 Broadway
Ste 140
Merrillville, IN 46410
Phone (219) 769-3678
5510 Franklin St
Michigan City, IN 46360
Phone (219) 809-2600
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
3800 Saint Mary Rd
Ste 302
Valparaiso, IN 46383
Phone (219) 464-1620
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.
-
- Internal Medicine Physician
- Dyer, IN
- NPI 1578527826
-
- Family Medicine Physician
- St John, IN
- NPI 1457610487
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
- Rural Acute Care Hospital
- Knox, IN
- NPI 1679948319
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
-
- General Acute Care Hospital
- Valparaiso, IN
- NPI 1215151154
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1174830236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7863 BROADWAY STE 140",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105563",
"telephone_number": "219-769-3678",
"fax_number": "219-736-5638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7863 BROADWAY STE 140",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105563",
"telephone_number": "219-769-3678",
"fax_number": "219-736-5638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABUDA",
"first_name": "JENNIFER",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28164729A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.