Individual provider Active NPI

Patricia Hart, NP

  • Family Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1306221692
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28058561A Issued in IN
Practice address
1036 S Rangeline Rd
Carmel, IN 46032-2544
Phone
(317) 569-1413
Fax
(317) 569-1403
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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 28058561A IN Primary

Addresses

Primary practice location

1036 S Rangeline Rd
Carmel, IN 46032-2544

Mailing address

234 Walnut St
Michigan City, IN 46360-6950
Phone (219) 872-5450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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

Enrollment IDStateProvider typePAC IDDetails
I20150929000166 IN Practitioner - Nurse Practitioner 3173831997 Reassigns benefits to 1 organization
I20181009001552 IL Practitioner - Nurse Practitioner 3173831997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

19000 Halsted St
Homewood, IL 60430-4204
Phone (708) 957-9200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28058561AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Healthcare LLC CurrentSince Apr 23, 2024 Accepting new patients
Paragon Clinical LLC Family CurrentSince Mar 4, 2016 Accepting new patients
Westmed, LLC PastSince May 17, 2020 Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients

Locations

422 E 4th St S
Arcola, IL 61910
Phone (217) 268-3022

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

745 McClintock Dr
Ste 360
Burr Ridge, IL 60527
Phone (630) 506-1245

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

19000 Halsted St
Homewood, IL 60430
Phone (708) 957-5161

200 Martin Ave
Naperville, IL 60540
Phone (630) 236-8018

425 US Highway 30
Ste 115
Dyer, IN 46311
Phone (708) 299-9882

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

8380 Virginia St
Merrillville, IN 46410
Phone (219) 769-9009

Organizations & group practices 4

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1306221692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 WALNUT ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463606950",
            "telephone_number": "219-872-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 S RANGELINE RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322544",
            "telephone_number": "317-569-1413",
            "fax_number": "317-569-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "PATRICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28058561A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.