Individual provider Active NPI

Stephanie Re

  • Nurse Practitioner
  • Munster, IN
National Provider Identifier
1245738327
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71007745A Issued in IN
Practice address
759 45TH Ave Ste 201
Munster, IN 46321-2938
Phone
(219) 836-0296
Fax
(219) 836-1830
NPI assigned
Jan 24, 2018
Last updated
Jan 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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 71007745A IN Primary

Addresses

Primary practice location

759 45TH Ave Ste 201
Munster, IN 46321-2938

Mailing address

757 45TH Ave Ste 201
Munster, IN 46321-2912
Phone (219) 922-5528

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
I20180213001752 IN Practitioner - Nurse Practitioner 4385904382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
61.32 of 100Reported as group
Quality
48.21
Promoting interoperability
21
Improvement activities
40
Cost
55.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71007745AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Doctors. P.C. CurrentSince Apr 11, 2022 Accepting new patients
Housecall Doctors PC Nurse Practitioner Past Accepting new patients

Locations

9030 Cline Ave
Highland, IN 46322
Phone (219) 750-9474

8300 Broadway
Ste D1
Merrillville, IN 46410
Phone (219) 750-9497

Organizations & group practices 3

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": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1245738327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 45TH AVE STE 201",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212912",
            "telephone_number": "219-922-5528",
            "fax_number": "219-922-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 45TH AVE STE 201",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212938",
            "telephone_number": "219-836-0296",
            "fax_number": "219-836-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RE",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007745A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.