Active NPI
Jennifer Carol Fancher, FNP
- Family Nurse Practitioner
- Chesterton, IN
National Provider Identifier
1184335002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28174733A
- Practice address
- 709 Plaza Dr Ste 1
Chesterton, IN 46304-1573 - Phone
- (219) 728-6091
- Fax
- (877) 793-9750
- NPI assigned
- Dec 12, 2022
- 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 | 28174733A | IN | Primary |
Addresses
Primary practice location
709 Plaza Dr Ste 1
Chesterton, IN 46304-1573
Mailing address
104 W 700 N
Valparaiso, IN 46385-8581
Phone (219) 309-0034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28174733A | IN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1184335002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W 700 N",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463858581",
"telephone_number": "219-309-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 PLAZA DR STE 1",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463041573",
"telephone_number": "219-728-6091",
"fax_number": "877-793-9750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANCHER",
"first_name": "JENNIFER",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28174733A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.