Active NPI
Kristine N. Van Nevel, M.S., CCC-A
- Audiologist
- Merrillville, IN
National Provider Identifier
1407923170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 23001983A
- Practice address
- 99 E 86TH Ave
Suite a
Merrillville, IN 46410-6381 - Phone
- (219) 738-2528
- Fax
- (219) 756-7825
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 23001983A | IN | Primary |
Addresses
Primary practice location
99 E 86TH Ave
Suite a
Merrillville, IN 46410-6381
Mailing address
99 E 86TH Ave
Suite a
Merrillville, IN 46410-6381
Phone (219) 738-2528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100466400A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
99 E 86TH Ave
Suite a
Merrillville, IN 46410-6267
Phone (219) 738-2617
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carepointe, P.C. | Current | Accepting new patients |
Locations
99 E 86th Ave
Ste A
Merrillville, IN 46410
Phone (219) 738-2528
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Merrillville, IN
- NPI 1023031911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200009600000",
"number": "1407923170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 E 86TH AVE",
"address_2": "SUITE A",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106381",
"telephone_number": "219-738-2528",
"fax_number": "219-756-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 E 86TH AVE",
"address_2": "SUITE A",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106381",
"telephone_number": "219-738-2528",
"fax_number": "219-756-7825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN NEVEL",
"first_name": "KRISTINE",
"middle_name": "N.",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2008-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23001983A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100466400A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.