Active NPI
Mildred Seneriz
- Family Nurse Practitioner
- Logansport, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71016215A
- Practice address
- 1201 Michigan Ave Ste 270
Logansport, IN 46947-1530 - Phone
- (574) 722-4921
- Fax
- (574) 739-0520
- NPI assigned
- Dec 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71016215A | IN | Primary |
Addresses
Primary practice location
1201 Michigan Ave Ste 270
Logansport, IN 46947-1530
Mailing address
407 W South St
Remington, IN 47977-8627
Phone (317) 902-2392
Other practice location 1
2316 South St
Lafayette, IN 47904-2971
Phone (765) 742-1567
Other practice location 2
1716 Hartford St
Lafayette, IN 47904-2173
Phone (765) 742-1567
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial HospitalParkview Logansport Hospital Inc
Practice addresses (Care Compare)
1201 Michigan Ave
Logansport, IN 46947-1530
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28237008A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riggs Community Health Center Inc | Current | Accepting new patients | |
| Trustees of Purdue University | Current | Accepting new patients | |
| Trustees of Purdue University | Current | Accepting new patients | |
| Trustees of Purdue University | Current | Accepting new patients | |
| Purdue University | Past | Accepting new patients | |
| Riggs Community Health Center Inc | Past | Accepting new patients |
Locations
901 Prince William Rd
Ste A
Delphi, IN 46923
Phone (765) 494-3789
1324 Tippecanoe St
Lafayette, IN 47904
Phone (765) 742-1567
1716 Hartford St
Lafayette, IN 47904
Phone (765) 742-1567
2316 South St
Lafayette, IN 47904
Phone (765) 447-6969
692 E Broadway St
Monon, IN 47959
Phone (800) 321-5043
715 Clinic Dr
West Lafayette, IN 47907
Phone (765) 494-3789
Interoperability endpoints
- mildred.seneriz.1@29127.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.
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1386660900
-
dba M D Steer Audiology & Speech-Language Clinics
- Hearing and Speech Clinic/Center
- West Lafayette, IN
- NPI 1619055712
-
dba Family Health Clinic of Carroll County
- Federally Qualified Health Center (FQHC)
- Delphi, IN
- NPI 1477549731
-
dba Family Health Clinic of Wolcott
- Federally Qualified Health Center (FQHC)
- Wolcott, IN
- NPI 1598111791
-
dba Purdue University Student Health Center
- Student Health Clinic/Center
- West Lafayette, IN
- NPI 1346239696
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1386876233
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Monticello, IN
- NPI 1710983945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1255149951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 W SOUTH ST",
"city": "REMINGTON",
"state": "IN",
"postal_code": "479778627",
"telephone_number": "317-902-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 MICHIGAN AVE STE 270",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471530",
"telephone_number": "574-722-4921",
"fax_number": "574-739-0520"
}
],
"practiceLocations": [
{
"address_1": "2316 South St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479042971",
"country_code": "US",
"telephone_number": "765-742-1567",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1716 Hartford St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479042173",
"country_code": "US",
"telephone_number": "765-742-1567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SENERIZ",
"first_name": "MILDRED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-27",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71016215A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logansport, IN
- William Tracy Scott, MSW
- Summer Beth Sears
- Renata T. Seemann-Kocon, M.D.
- Select Physical Therapy Holdings, Inc. (Select Physical Therapy)
- Cynthia Kay Sells, BS
- Servant's Heart Home Health Services, Inc.
- Servant's Heart Homemaker Services, LLC (Servant's Heart Homemaker Services)
- Megan Elizabeth Shaal, PSY.D., HSPP
- Owen Craig Shanteau, DDS
- Robert C. Shaw Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.