Active NPI
Vicki Overmyer, FNP
- Family Nurse Practitioner
- Michigan City, IN
National Provider Identifier
1356503189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71001642A
- Practice address
- 8466 W Pahs Rd
Michigan City, IN 46360-2919 - Phone
- (219) 873-2082
- Fax
- (219) 873-2222
- NPI assigned
- Jul 2, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71001642A | IN | Primary |
Addresses
Primary practice location
8466 W Pahs Rd
Michigan City, IN 46360-2919
Mailing address
8466 West Paus Rd.
Michigan City, IN 46360-3563
Phone (219) 873-2082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71001642A | Other | IN | NURSE PRACTITIONER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001642A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Health Center | Past | Accepting new patients | |
| Onhealthcare LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HIFDDD/Endpoint/HIFDDD
Organizations & group practices 2
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.
-
- Podiatrist
- Indianapolis, IN
- NPI 1952677353
-
- Adolescent Medicine (Family Medicine) Physician
- Michigan City, IN
- NPI 1861736456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1356503189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8466 WEST PAUS RD.",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463603563",
"telephone_number": "219-873-2082",
"fax_number": "219-873-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8466 W PAHS RD",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463602919",
"telephone_number": "219-873-2082",
"fax_number": "219-873-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERMYER",
"first_name": "VICKI",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71001642A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER",
"identifier": "71001642A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.