Individual provider Active NPI

Mildred Seneriz

  • Family Nurse Practitioner
  • Logansport, IN
National Provider Identifier
1255149951
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016215A Issued in IN
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

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225000817 IN Practitioner - Nurse Practitioner 7618497355 Reassigns benefits to 2 organizations

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 HospitalGroup PAC ID 8123923281, shared by 2 NPIs, 64 clinicians
Parkview Logansport Hospital IncGroup PAC ID 8921500646, shared by 4 NPIs, 41 clinicians

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

LicenseStateTypeSpecialty
28237008AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riggs Community Health Center Inc CurrentSince Feb 1, 2025 Accepting new patients
Trustees of Purdue University CurrentSince Apr 1, 2025 Accepting new patients
Trustees of Purdue University CurrentSince Apr 1, 2025 Accepting new patients
Trustees of Purdue University Current Accepting new patients
Purdue University Past Accepting new patients
Riggs Community Health Center Inc PastSince Feb 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.