Individual provider Active NPI

Monika Vasic, FNP

  • Family Nurse Practitioner
  • Munster, IN
National Provider Identifier
1275935132
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005023A Issued in IN
Practice address
1650 45TH Ave Ste 2a
Munster, IN 46321-3960
Phone
(219) 513-8923
Fax
(219) 513-8941
NPI assigned
Sep 23, 2014
Last updated
Sep 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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 71005023A IN Primary

Addresses

Primary practice location

1650 45TH Ave Ste 2a
Munster, IN 46321-3960

Mailing address

1650 45TH Ave Ste 2a
Munster, IN 46321-3960
Phone (219) 513-8923

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
I20150108000091 IN Practitioner - Nurse Practitioner 8224351747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

9030 Columbia Ave
Munster, IN 46321-2905
Phone (219) 836-6002

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71005023AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjay Patel, LLC CurrentSince Jun 6, 2024 Accepting new patients
Community Care Network Inc CurrentSince Dec 31, 2021 Accepting new patients
I W Chang MD Professional Corp PastSince Dec 31, 2021 Accepting new patients
Aesquivel Professional Corporation PastSince Jun 6, 2024 Accepting new patients

Locations

9008 Indianapolis Blvd
Highland, IN 46322
Phone (219) 513-8923

10240 Calumet Ave
Munster, IN 46321
Phone (219) 703-2420

1650 45th St
Ste 2A
Munster, IN 46321
Phone (219) 513-8923

9030 Columbia Ave
Munster, IN 46321
Phone (219) 836-6002

9030 Columbia Ave
#B
Munster, IN 46321
Phone (219) 283-6160

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

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

7651 Harvest Dr
Schererville, IN 46375
Phone (219) 322-5723

Interoperability endpoints

  • Direct secure messaging: mvasic60633@ssdirect.comhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1275935132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 45TH AVE STE 2A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213960",
            "telephone_number": "219-513-8923",
            "fax_number": "219-513-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 45TH AVE STE 2A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213960",
            "telephone_number": "219-513-8923",
            "fax_number": "219-513-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASIC",
        "first_name": "MONIKA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005023A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.