Franciscan Health Rensselaer, Inc.
Organization Active NPI Family Nurse Practitioner · Rensselaer, IN
NPI 1386561538 · NPPES record last updated Jun 30, 2026
Key facts
- NPI
- 1386561538
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- FRANCISCAN HEALTH RENSSELAER, INC.
- Practice address
- 118 W Drexel Pkwy
Rensselaer, IN 47978-7344 - Phone
- (219) 866-4300
- Fax
- (219) 866-7591
- NPI assigned
- Jun 30, 2026
- Organization subpart
- No
Authorized official
- Name
- Terrence E Wilson
- Title
- President/Ceo
- Phone
- (765) 502-4440
Corporate family (same tax ID) 5
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2033184 | Franciscan Physician Network Rensselaer Medical | Certificate of waiver | Nov 27, 2027 |
National Provider Directory
- Tax ID family
- Franciscan Health Rensselaer Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
118 W Drexel Pkwy
Rensselaer, IN 47978-7344
Mailing address
PO Box 771923
Detroit, MI 48278-1923
Phone (317) 528-4800
Other names
- Franciscan Physician Network Rensselaer
Other providers in Rensselaer, IN
- Kimberly Ewen
- Fairmeadows Home Health Center, Inc.
- Kristen Conway Fakes
- Franciscan Health Rensselaer, Inc.
- Franciscan Health Rensselaer, Inc.
- Franciscan Health Rensselaer, Inc.
- Franciscan Health Rensselaer, Inc.
- Franciscan Health Rensselaer, Inc.
- Franciscan Health Rensselaer, Inc.
- Wanda Gay Gifford
All providers in Rensselaer, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.