Active NPI
Rebecca Ehrick, NP
- Family Nurse Practitioner
- La Porte, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F09171206
- Practice address
- 400 Legacy PLZ W
La Porte, IN 46350-5296 - Phone
- (219) 326-1775
- NPI assigned
- Sep 26, 2017
- Last updated
- Sep 18, 2020
- 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 | F09171206 | IN | Primary |
Addresses
Primary practice location
400 Legacy PLZ W
La Porte, IN 46350-5296
Mailing address
400 Legacy Plaza W
La Porte, IN 46350
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rebecca.Ehrick@laportehosp.cernerdirect.com |
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 E Culver Rd
Knox, IN 46534-2241
1245 E Ireland Rd
Suite B
South Bend, IN 46614-3448
Phone (574) 312-7022
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.68 of 100
- Quality
- 76.2
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09171206 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Porte Clinic Company LLC | Current | Accepting new patients | |
| La Porte Clinic Company LLC | Current | Accepting new patients | |
| Pic Indiana PC | Current | Accepting new patients |
Locations
924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056
104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300
400 Legacy Plz W
La Porte, IN 46350
Phone (219) 326-1775
401 Newport Blvd
Laporte, IN 46350
Phone (219) 326-1775
1245 E Ireland Rd
South Bend, IN 46614
Phone (574) 312-7022
1245 E Ireland Rd
#B
South Bend, IN 46614
Phone (574) 312-7022
Interoperability endpoints
- rebecca.ehrick@laportehosp.cernerdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Valparaiso, IN
- NPI 1568829224
-
dba La Porte Physician Network Ophthalmology Care
- Durable Medical Equipment & Medical Supplies
- La Porte, IN
- NPI 1275081788
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Michigan City, IN
- NPI 1689626665
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
dba Northwest Health-La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1356850937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 LEGACY PLAZA W",
"city": "LA PORTE",
"state": "IN",
"postal_code": "46350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 LEGACY PLZ W",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463505296",
"telephone_number": "219-326-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRICK",
"first_name": "REBECCA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "F09171206",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rebecca.Ehrick@laportehosp.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "400 Legacy Plz W",
"city": "LA Porte",
"state": "IN",
"country_code": "US",
"postal_code": "463505296",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Porte, IN
- Dycora Transitional Health - la Porte LLC
- Dycora Transitional Health - la Porte Springs LLC
- Terry Christopher Easton, M.D.
- Daniel Evar Edquist, M.D.
- James Edwards, M.D.
- David M Eldridge, PHARMD
- Elite Performance Academy and Wellness Center
- Julius Rodney Ellis, MD FACOG
- Endless Possibilities Therapy LLC (Endless Possibilities)
- Freeman L. Farrow, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.