Individual provider Active NPI

Lindsay Nicole Tomkiewicz, FNP-C

  • Family Nurse Practitioner
  • Goshen, IN
National Provider Identifier
1265195739
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011928A Issued in IN
Practice address
1615 Winsted Dr Ste 2
Goshen, IN 46526-4673
Phone
(574) 537-1625
Fax
(574) 537-9384
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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 71011928A IN Primary

Addresses

Primary practice location

1615 Winsted Dr Ste 2
Goshen, IN 46526-4673

Mailing address

1615 Winsted Dr Ste 2
Goshen, IN 46526-4673
Phone (574) 537-1625

Other identifiers 1

IdentifierTypeStateIssuer
300057096MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lindsay.tomkiewicz@goshenhealthdirect.com Health Information Exchange (HIE)

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
I20220104000250 IN Practitioner - Nurse Practitioner 5991196867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians

Practice addresses (Care Compare)

1615 Winsted Dr
Suite 2
Goshen, IN 46526-4673
Phone (574) 537-1625

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011928AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Hospital Association Inc Current Accepting new patients
Goshen Health System Inc CurrentSince Aug 1, 2023 Accepting new patients
Goshen Health System Inc Surgery CurrentSince Aug 1, 2023 Accepting new patients

Locations

851 Parkway Ave
Elkhart, IN 46516
Phone (574) 286-2259

1615 Winsted Dr
Ste 2
Goshen, IN 46526
Phone (574) 533-0300

2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752

1033 N Indiana Ave
Syracuse, IN 46567
Phone (574) 457-5701

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.

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": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1265195739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 WINSTED DR STE 2",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264673",
            "telephone_number": "574-537-1625",
            "fax_number": "574-537-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 WINSTED DR STE 2",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264673",
            "telephone_number": "574-537-1625",
            "fax_number": "574-537-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMKIEWICZ",
        "first_name": "LINDSAY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011928A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300057096",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindsay.tomkiewicz@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1615 Winsted Dr Ste 2",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465264673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.