Individual provider Active NPI

Rebecca Ehrick, NP

  • Family Nurse Practitioner
  • La Porte, IN
National Provider Identifier
1356850937
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09171206 Issued in IN
Practice address
400 Legacy PLZ W
La Porte, IN 46350-5296
Phone
(219) 326-1775
NPI assigned
Sep 26, 2017
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180102001146 IN Practitioner - Nurse Practitioner 5698033397 Reassigns benefits to 2 organizations

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
La Porte Clinic Company LLCGroup PAC ID 0446558357, 66 clinicians
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

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 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09171206INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte Clinic Company LLC CurrentSince Nov 27, 2017 Accepting new patients
La Porte Clinic Company LLC CurrentSince Nov 27, 2017 Accepting new patients
Pic Indiana PC CurrentSince Oct 13, 2025 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

  • Direct secure messaging: 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.

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": "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

Sources for this page

Verify at the official NPI Registry.