Individual provider Active NPI

Debra Ann Equihua, CNM

  • Advanced Practice Midwife
  • Gary, IN
National Provider Identifier
1396819355
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
72000093A Issued in IN
Practice address
2269 W 25TH Ave
Gary, IN 46404-3367
Phone
(219) 944-4187
Fax
(219) 944-4196
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 72000093A IN Primary

Addresses

Primary practice location

2269 W 25TH Ave
Gary, IN 46404-3367

Mailing address

2269 W 25TH Ave
Gary, IN 46404-3367
Phone (219) 944-4187

Other identifiers 1

IdentifierTypeStateIssuer
200461140MedicaidIN

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901001197 IN Practitioner - Certified Nurse Midwife (CNM) 6709851611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6121 Cleveland St
Merrillville, IN 46410-2302

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
72000093AINMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Porter-Starke Services Inc. CurrentSince Dec 12, 2023 Accepting new patients
Porter-Starke Services Inc. CurrentSince Dec 12, 2023 Accepting new patients
Porter Starke Services Past Accepting new patients

Locations

3229 Broadway
Ste 115
Gary, IN 46409
Phone (219) 806-3000

3229 Broadway
Ste 104
Gary, IN 46409
Phone (219) 487-5800

704 S State Road 2
Hebron, IN 46341
Phone (219) 806-3011

1001 S Edgewood Dr
Ste 1
Knox, IN 46534
Phone (574) 772-4040

3176 Lancer St
Ste B
Portage, IN 46368
Phone (219) 806-3000

601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011

Interoperability endpoints

  • Direct secure messaging: dequihua1113@themethodisthospitals.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1396819355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 W 25TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464043367",
            "telephone_number": "219-944-4187",
            "fax_number": "219-944-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 W 25TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464043367",
            "telephone_number": "219-944-4187",
            "fax_number": "219-944-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EQUIHUA",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "72000093A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200461140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.