Individual provider Active NPI

Nichole Marie Patten, DNP, FNP-BC

  • Family Nurse Practitioner
  • Hobart, IN
National Provider Identifier
1255819405
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008400A Issued in IN
Practice address
1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone
(219) 947-6200
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 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 28211762A IN
Family Nurse Practitioner 363LF0000X 71008400A IN Primary

Addresses

Primary practice location

1500 S Lake Park Ave
Hobart, IN 46342-6638

Mailing address

2214 Coldspring Rd
Crown Point, IN 46307-9335
Phone (219) 331-6677

Other practice location 1

3800 Saint Mary Rd Ste 102
Valparaiso, IN 46383-3986
Phone (219) 286-3707

Other names 1

  • Nichole Marie Patten Former name

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
I20181107002845 IN Practitioner - Nurse Practitioner 8123372208 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28211762AINMDNurse Practitioner
71008400AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Feb 1, 2022 Accepting new patients
Community Care Network Inc Nurse Practitioner CurrentSince Mar 1, 2022 Accepting new patients
Cep America LLC CurrentSince Feb 1, 2022 Accepting new patients
GN Endocrinology LTD CurrentSince May 1, 2023 Accepting new patients
Cep America LLC Current Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

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

174 Bracken Pkwy
Hobart, IN 46342
Phone (219) 227-5119

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

10012 Calumet Ave
#A
Munster, IN 46321
Phone (219) 227-5119

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

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

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

401 Wall St
Unit C
Valparaiso, IN 46383
Phone (219) 464-2020

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

1451 Morthland Dr
Ste A
Valparaiso, IN 46385
Phone (219) 286-3880

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1255819405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 COLDSPRING RD",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079335",
            "telephone_number": "219-331-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426638",
            "telephone_number": "219-947-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Saint Mary Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463833986",
            "country_code": "US",
            "telephone_number": "219-286-3707",
            "fax_number": "219-286-3708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "NICHOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28211762A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008400A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "PATTEN",
            "middle_name": "MARIE",
            "credential": "DNP, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.