Deborah L. Gunden, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

71000520A Issued in IN

Practice address

2240 Karisa Dr
Suite 1
Goshen, IN 46526-6943

Phone

(574) 534-6757

Fax

(574) 537-0357

NPI assigned

Jan 28, 2006

Last updated

Jan 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deborah.gunden@elkhartc.eclinicaldirectplus.com

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.

• Privia Medical Group Indiana, LLC

  • Multi-Specialty Clinic/Center
  • Elkhart, IN
  • NPI 1013912286
  NPD
• Privia Medical Group Indiana, LLC

  • Family Nurse Practitioner
  • Wakarusa, IN
  • NPI 1568147809
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1376514380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 KARISA DR",
            "address_2": "SUITE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266943",
            "telephone_number": "574-534-6757",
            "fax_number": "574-537-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 KARISA DR",
            "address_2": "SUITE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266943",
            "telephone_number": "574-534-6757",
            "fax_number": "574-537-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDEN",
        "first_name": "DEBORAH",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-28",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71000520A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000606423",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200506110",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maire Catherine Grupp, LSW
• Grace Guard
• Jennifer Guardado, FNP
• Paola Guillen
• Lakshmi Gullapalli, MD
• Djavid Hadian, M.D.
• Amy Sue Hahn, OTR
• Christina Haimes, M.D.
• Lydia Hall, BCBA
• Tia Hall

• Adult Health Nurse Practitioner in Goshen, IN
• Providers in Goshen, IN by specialty
• Adult Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.

Verify at the official NPI Registry.