Individual provider Active NPI

Amanda Marie Schulte, DNP APRN NP-BC

  • Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1205498862
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71009097A Issued in IN
Practice address
3907 Calumet Ave
Valparaiso, IN 46383-2269
Phone
(192) 859-8552
Fax
(219) 285-9854
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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 71009097A IN Primary

Addresses

Primary practice location

3907 Calumet Ave
Valparaiso, IN 46383-2269

Mailing address

3907 Calumet Ave Ste 207
Valparaiso, IN 46383-2286
Phone (219) 285-9855

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
I20200811003319 IN Practitioner - Nurse Practitioner 7315363157 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71009097AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Urgent Care, LLC CurrentSince Jul 19, 2022 Accepting new patients
Smart Physician Systems PC CurrentSince Aug 1, 2020 Accepting new patients
The Methodist Hospitals, Inc PastSince Jul 19, 2022 Accepting new patients
Wholesome Wellness LLC PastSince Sep 24, 2023 Accepting new patients

Locations

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

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

5043 E Lincoln Hwy
Merrillville, IN 46410
Phone (219) 554-3290

10176 W 400 N
Ste C
Michigan City, IN 46360
Phone (219) 873-1777

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

8242 Calumet Ave
Ste 1
Munster, IN 46321
Phone (219) 595-0300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25132/brand/1/csg/1/fhir/r4
  • Direct secure messaging: amanda.yarbrough.1@25132.direct.athenahealth.com

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1205498862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 CALUMET AVE STE 207",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832286",
            "telephone_number": "219-285-9855",
            "fax_number": "219-285-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832269",
            "telephone_number": "192-859-8552",
            "fax_number": "219-285-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTE",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP APRN NP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009097A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.