Individual provider Active NPI

Marne J Juestel, FNP

  • Nurse Practitioner
  • Saint John, IN
National Provider Identifier
1245274935
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001145A Issued in IN
Practice address
9660 Wicker Ave
Saint John, IN 46373-9487
Phone
(219) 365-1177
NPI assigned
Jun 15, 2006
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001145A IN Primary
Family Nurse Practitioner 363LF0000X 71001145A IN

Addresses

Primary practice location

9660 Wicker Ave
Saint John, IN 46373-9487

Mailing address

457 Highland Dr
Porter, IN 46304-2265
Phone (219) 916-4936

Other practice location 1

407 W Indiana Ave
Chesterton, IN 46304-2350
Phone (219) 763-8112

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
I20070227000636 IN Practitioner - Nurse Practitioner 2365544079 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

2350 Taft St
Gary, IN 46404-3349
Phone (877) 883-9430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001145AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Feb 1, 2022 Accepting new patients
Cep America LLC Current Accepting new patients
Villagemd Indiana, PC CurrentSince Nov 1, 2021 Accepting new patients
Cep America LLC CurrentSince Feb 1, 2022 Accepting new patients
Post Acute Medical PLLC CurrentSince May 19, 2024 Accepting new patients
Altea Medical Indiana PC CurrentSince Feb 26, 2024 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

2350 Taft St
Gary, IN 46404
Phone (219) 944-2677

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

525 E Thompson Rd
Indianapolis, IN 46227
Phone (317) 745-5148

3518 S Lafountain St
#3803
Kokomo, IN 46902
Phone (765) 453-4667

6097 Broadway
Merrillville, IN 46410
Phone (219) 758-5152

1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

5995 US Highway 6
Portage, IN 46368
Phone (219) 762-2134

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

3800 Saint Mary Rd
Ste 102
Valparaiso, IN 46383
Phone (219) 286-3707

Interoperability endpoints

  • Direct secure messaging: marne.juestel.1@30758.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1245274935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 HIGHLAND DR",
            "city": "PORTER",
            "state": "IN",
            "postal_code": "463042265",
            "telephone_number": "219-916-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739487",
            "telephone_number": "219-365-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 W Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Chesterton",
            "state": "IN",
            "postal_code": "463042350",
            "country_code": "US",
            "telephone_number": "219-763-8112",
            "fax_number": "219-764-3251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUESTEL",
        "first_name": "MARNE",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001145A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001145A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint John, IN

Sources for this page

Verify at the official NPI Registry.