Individual provider Active NPI

Aubrey Daye Handley, NP-C

  • Family Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1427551555
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007862A Issued in IN
Practice address
3301 Calumet Ave
Valparaiso, IN 46383-2614
Phone
(219) 462-0508
NPI assigned
Mar 15, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 71007862A IN Primary

Addresses

Primary practice location

3301 Calumet Ave
Valparaiso, IN 46383-2614

Mailing address

129 N Summerfield Dr
Valparaiso, IN 46385-7813
Phone (219) 707-6738

Other identifiers 1

IdentifierTypeStateIssuer
71007862AOtherINAPN LICENSE

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
I20180316001149 IN Practitioner - Nurse Practitioner 6608138318 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smart Physician Systems PCGroup PAC ID 3678853645, 8 clinicians
Axess Clinic and Diagnostics LLCGroup PAC ID 0941615512, 2 clinicians

Practice addresses (Care Compare)

10176 W 400
Suite C
Michigan City, IN 46360-9009
Phone (219) 873-1777

300 W 80TH PL
Suite D
Merrillville, IN 46410-5476
Phone (219) 809-9839

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Physician Systems PC CurrentSince Mar 27, 2024 Accepting new patients
Illinois Center for Pain Control LLC CurrentSince Jul 1, 2020 Accepting new patients
Axess Clinic and Diagnostics LLC CurrentSince May 1, 2024 Accepting new patients
Rest Haven Illiana Christian Convalescent Home PastSince Aug 12, 2020 Accepting new patients

Locations

300 W 80th Pl
Ste D
Merrillville, IN 46410
Phone (219) 769-6037

10176 W 400 N
Ste A
Michigan City, IN 46360
Phone (219) 809-9839

10176 W 400 N
Ste B
Michigan City, IN 46360
Phone (219) 301-2633

10176 W 400 N
Ste C
Michigan City, IN 46360
Phone (219) 873-1777

8242 Calumet Ave
Ste 1
Munster, IN 46321
Phone (219) 595-0300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1427551555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N SUMMERFIELD DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463857813",
            "telephone_number": "219-707-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832614",
            "telephone_number": "219-462-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLEY",
        "first_name": "AUBREY",
        "middle_name": "DAYE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007862A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "71007862A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.