Individual provider Active NPI

Brittney Bennett, FNP-C

  • Family Nurse Practitioner
  • Gary, IN
National Provider Identifier
1386174530
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06170872 Issued in IN
Practice address
600 Grant St
Gary, IN 46402-6001
Phone
(219) 886-4000
NPI assigned
Jun 19, 2017
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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 F06170872 IN Primary

Addresses

Primary practice location

600 Grant St
Gary, IN 46402-6001

Mailing address

6280 Victory Ave
Portage, IN 46368-4530
Phone (219) 308-1589

Other practice location 1

8800 Virginia Pl
Merrillville, IN 46410-7109
Phone (219) 736-1310

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
I20171013002666 IN Practitioner - Nurse Practitioner 5294000451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians of Indiana LLCGroup PAC ID 4981841780, 76 clinicians

Practice addresses (Care Compare)

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000

600 Richard Gordon Hatcher Blvd
Gary, IN 46402-6001
Phone (219) 886-4000

8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06170872INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC CurrentSince Jul 27, 2020 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Jul 27, 2020 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC CurrentSince Oct 15, 2022 Accepting new patients
RH Clinic LLC CurrentSince Jan 3, 2023 Accepting new patients
Reliantmd Telehealth Group PLLC Past Accepting new patients

Locations

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

144 E US Highway 30
Schererville, IN 46375
Phone (219) 515-2667

146 E US Highway 30
Schererville, IN 46375
Phone (219) 515-2667

Interoperability endpoints

  • Direct secure messaging: bbennett20569@themethodisthospitals.direct-ci.com

Organizations & group practices 5

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 1

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1386174530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 VICTORY AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463684530",
            "telephone_number": "12193081589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRANT ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464026001",
            "telephone_number": "219-886-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Virginia Pl",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107109",
            "country_code": "US",
            "telephone_number": "219-736-1310",
            "fax_number": "219-756-3562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "BRITTNEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F06170872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.