Active NPI
Lisa Marie Budka, RN, NP-C
- Family Nurse Practitioner
- Valparaiso, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28171591A
- Practice address
- 1001 Sturdy Rd
Valparaiso, IN 46383-4126 - Phone
- (219) 462-7173
- Fax
- (219) 462-7504
- NPI assigned
- Dec 26, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28171591A | IN | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 71004318A | IN |
Addresses
Primary practice location
1001 Sturdy Rd
Valparaiso, IN 46383-4126
Mailing address
2401 Valley Dr
Valparaiso, IN 46383-2520
Phone (219) 413-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201138960 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lisa.nelson@healthlinc.directbygreenway.com | Direct |
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Sturdy Rd
Valparaiso, IN 46383-4126
Phone 21946271732226
Hospital & facility affiliations
- Northwest Health - Porter
- Franciscan Health Crown Point
- Franciscan Health Michigan City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28171591A | IN | MD | Family Nurse Practitioner |
| 71004318A | IN | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthlinc, Inc. | Current | Accepting new patients | |
| Healthlinc, Inc | Current | Accepting new patients | |
| Healthlinc, Inc | Past | Accepting new patients |
Locations
2323 Broadway St
East Chicago, IN 46312
1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173
2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100
Interoperability endpoints
- lisa.nelson@healthlinc.directbygreenway.com
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1528262581
-
- Federally Qualified Health Center (FQHC)
- Morocco, IN
- NPI 1568354116
-
- Community Health Worker
- Valparaiso, IN
- NPI 1639498041
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
- General Acute Care Hospital
- Valparaiso, IN
- NPI 1215151154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1275879025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 VALLEY DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832520",
"telephone_number": "219-413-5100",
"fax_number": "219-465-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 STURDY RD",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463834126",
"telephone_number": "219-462-7173",
"fax_number": "219-462-7504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDKA",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "RN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-26",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28171591A",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IN",
"license": "71004318A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201138960",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lisa.nelson@healthlinc.directbygreenway.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1001 Sturdy Rd",
"city": "Valparaiso",
"state": "IN",
"country_code": "US",
"postal_code": "463834126",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.