Active NPI
Cheryl Vandeursen, CNM
- Advanced Practice Midwife
- Demotte, IN
National Provider Identifier
1366448193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 09000112A
- Practice address
- 417 N Halleck St
Demotte, IN 46310-9419 - Phone
- (219) 987-2641
- Fax
- (219) 987-5586
- NPI assigned
- Jun 27, 2005
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 09000112A | IN | Primary |
Addresses
Primary practice location
417 N Halleck St
Demotte, IN 46310-9419
Mailing address
3 N Court St Pmb355
Crown Point, IN 46307
Phone (219) 681-6995
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09000112A | IN | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366448193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 N COURT ST PMB355",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "46307",
"telephone_number": "219-681-6995",
"fax_number": "219-757-6481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 N HALLECK ST",
"city": "DEMOTTE",
"state": "IN",
"postal_code": "463109419",
"telephone_number": "219-987-2641",
"fax_number": "219-987-5586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEURSEN",
"first_name": "CHERYL",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IN",
"license": "09000112A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Demotte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.