Individual provider Active NPI

Kristine N. Van Nevel, M.S., CCC-A

  • Audiologist
  • Merrillville, IN
National Provider Identifier
1407923170
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23001983A Issued in IN
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

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100466400AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000552 IN Practitioner - Qualified Audiologist 6800061946 Reassigns benefits to 1 organization

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
Carepointe, P.C.Group PAC ID 6608812003, 7 clinicians

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

OrganizationSpecialtyStatusNew patients
Carepointe, P.C. CurrentSince May 21, 2018 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.

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.

Verify at the official NPI Registry.