Active NPI
Nurse Practitioner Services of Michiana
Doing business as NPS Wellness
- Primary Care Clinic/Center
- Elkhart, IN
National Provider Identifier
1225605207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- NURSE PRACTITIONER SERVICES OF MICHIANA
- Doing business as
- NPS Wellness
- Practice address
- 5230 Beck Dr Ste 3
Elkhart, IN 46516-9059 - Phone
- (574) 622-1522
- Fax
- (574) 699-1588
- NPI assigned
- Jun 8, 2021
- Last updated
- Oct 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kertes Stephanie, NP
- Title
- Owner
- Phone
- (574) 274-3925
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
5230 Beck Dr Ste 3
Elkhart, IN 46516-9059
Mailing address
5230 Beck Dr Ste 3
Elkhart, IN 46516-9059
Phone (574) 622-1522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201317770 | Medicaid | IN |
Other names 3
- NPS Wellness
- Neighborhood Nurse Practitioner Services
- Nurse Practitioner Services of Michiana
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2229131 | Nurse Practitioner Services of Michiana | Certificate of waiver | Jul 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
2004 Mishawaka St
Elkhart, IN 46514
Phone (574) 622-1522
2901 E Bristol St
Ste B
Elkhart, IN 46514
5230 Beck Dr
Ste 3
Elkhart, IN 46516
Phone (574) 218-0572
Interoperability endpoints
- https://api.platform.athenahealth.com/24149/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1225605207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5230 BECK DR STE 3",
"city": "ELKHART",
"state": "IN",
"postal_code": "465169059",
"telephone_number": "574-622-1522",
"fax_number": "833-310-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 BECK DR STE 3",
"city": "ELKHART",
"state": "IN",
"postal_code": "465169059",
"telephone_number": "574-622-1522",
"fax_number": "574-699-1588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSE PRACTITIONER SERVICES OF MICHIANA",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-08",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "STEPHANIE",
"authorized_official_first_name": "KERTES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "574-274-3925",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201317770",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NPS Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Neighborhood Nurse Practitioner Services",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Nurse Practitioner Services of Michiana",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.