Elaine Diana Tsiakopoulos, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209019372 Issued in IL

Practice address

2293 N Main St
Crown Point, IN 46307-1854

Phone

(219) 755-3385

NPI assigned

May 5, 2019

Last updated

Nov 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• The University of Chicago Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1033218128
  Medicare reassignment NPD
• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  IN

  Medicare reassignment
• The University of Chicago Medical Center

  dba UCMC Pharmacy Services

  • Community/Retail Pharmacy
  • Calumet City, IL
  • NPI 1255895678
  NPD
• Lake County Jail

  • Public Health or Welfare Agency
  • Crown Point, IN
  • NPI 1043626443
  NPD (past)

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

{
    "created_epoch": "1557014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1255996336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2293 N MAIN ST",
            "address_2": "MEDICAL CHI",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2293 N MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071854",
            "telephone_number": "219-755-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSIAKOPOULOS",
        "first_name": "ELAINE",
        "middle_name": "DIANA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-05",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "$$$$$$$$$",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Trotter, RBT
• Corbett D. Troyer, LSW
• Trent Trump
• Natasha Trybula
• Alexander Theodore Tsiakopoulos
• Melissa Mae Tuma, PA-C
• Michelle Joy Tupas, PT
• Dajah Turner, RBT
• Dwight S Tyndall, MD
• Uchicago Medicine Northwest Indiana Inc

• Family Nurse Practitioner in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.