Individual provider Active NPI

Brittany Marie Carr, PA-C

  • Physician Assistant
  • Munster, IN
National Provider Identifier
1346510898
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001728A Issued in IN
Practice address
9900 Columbia Ave
Munster, IN 46321-4008
Phone
(219) 924-3300
NPI assigned
Dec 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 99063492A IN
Medical Physician Assistant 363AM0700X 99063492A IN
Medical Physician Assistant 363AM0700X 0110003697 VA
Physician Assistant 363A00000X 10001728A IN Primary

Addresses

Primary practice location

9900 Columbia Ave
Munster, IN 46321-4008

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

1225 E Coolspring Ave Ste 200
Michigan City, IN 46360-6312
Phone (219) 861-8161

Other identifiers 1

IdentifierTypeStateIssuer
300008112MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bcarr176547@Direct.FranciscanAlliance.org 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141007001123 IN Practitioner - Physician Assistant 8022284702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Specialists of Northwest Indiana PCGroup PAC ID 5092788901, 18 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians
Rci (WRS) LLCGroup PAC ID 5092624510, shared by 17 NPIs, 325 clinicians
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians

Practice addresses (Care Compare)

10200 Wicker Ave
1 Osni St John
Saint John, IN 46373-9439
Phone (219) 924-3300

10215 Broadway
Crown Point, IN 46307-8001

1300 Lincolnway
Valparaiso, IN 46383-5824

1500 S Lake Park Ave
Hobart, IN 46342-6638

1545 W US Hwy 30
Schererville, IN 46375-1562
Phone (219) 836-5381

3800 Saint Mary Rd
Valparaiso, IN 46383-3986

425 Sand Creek Dr
Chesterton, IN 46304-1589

730 45TH Ave
Munster, IN 46321-2818

730 45TH St
Munster, IN 46321-2818
Phone 2199243300150

9130 Columbia Ave
Munster, IN 46321-2932

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
99063492AINMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Physician Assistant CurrentSince Feb 1, 2023 Accepting new patients
Munster Radiology Group PC Past Accepting new patients

Locations

1500 S Lake Park Ave
#402
Hobart, IN 46342
Phone (219) 945-4488

10240 Calumet Ave
Fl 2
Munster, IN 46321
Phone (219) 836-8100

10240 Calumet Ave
Munster, IN 46321
Phone (219) 440-5286

9200 Calumet Ave
Ste S200
Munster, IN 46321
Phone (219) 961-9621

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

1545 W US Highway 30
Schererville, IN 46375
Phone (219) 703-2440

505 W US Highway 30
Schererville, IN 46375
Phone (219) 322-3311

3800 Saint Mary Rd
Ste 101
Valparaiso, IN 46383
Phone (219) 738-2081

Interoperability endpoints

  • Direct secure messaging: bcarr142782@ssdirect.comhs.org
  • Direct secure messaging: bcarr176547@direct.franciscanalliance.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1346510898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 COLUMBIA AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214008",
            "telephone_number": "219-924-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 E Coolspring Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463606312",
            "country_code": "US",
            "telephone_number": "219-861-8161",
            "fax_number": "219-873-9504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "BRITTANY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "99063492A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "99063492A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003697",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001728A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300008112",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bcarr176547@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1225 E Coolspring Ave Ste 200",
            "city": "Michigan City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463606312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.