Individual provider Active NPI

Ayanna Denise Washington, AGNP-C, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Schererville, IN
National Provider Identifier
1215701982
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71014605A Issued in IN
Practice address
16 E US Highway 30
Schererville, IN 46375-2105
Phone
(219) 515-6182
Fax
(708) 437-0027
NPI assigned
Nov 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 71014605A IN
Gerontology Nurse Practitioner 363LG0600X 71014605A IN Primary

Addresses

Primary practice location

16 E US Highway 30
Schererville, IN 46375-2105

Mailing address

16 E US Highway 30
Schererville, IN 46375-2105
Phone (219) 515-6182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231120003497 IN Practitioner - Nurse Practitioner 3274981881 Reassigns benefits to 1 organization
I20240224000564 IL Practitioner - Nurse Practitioner 3274981881

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 E US Hwy 30
Schererville, IN 46375-2105
Phone (219) 515-6182

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as group
Quality
80.07
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71014605AINMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shungo Care CurrentSince Jan 5, 2025 Accepting new patients
Hyong Kim MD Service Corporation CurrentSince Jan 1, 2025 Accepting new patients
Staffed for Perfection Healthcare Staffing Current Accepting new patients
Hansa Medical Groupe PLLC CurrentSince Jan 1, 2024 Accepting new patients
Neurology and Pain Management Associates PC Gerontology CurrentSince Dec 11, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

206 N Randolph St
Ste 2
Champaign, IL 61820
Phone (540) 892-0910

16 E US Highway 30
Schererville, IN 46375
Phone (219) 515-6182

20 John Kissinger Dr
Wabash, IN 46992
Phone (260) 274-0444

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": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1215701982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E US HIGHWAY 30",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752105",
            "telephone_number": "219-515-6182",
            "fax_number": "708-437-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E US HIGHWAY 30",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752105",
            "telephone_number": "219-515-6182",
            "fax_number": "708-437-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "AYANNA",
        "middle_name": "DENISE",
        "credential": "AGNP-C, AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71014605A",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71014605A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

Verify at the official NPI Registry.