Organization Active NPI

Empower Medical

  • Clinic/Center
  • Valparaiso, IN
National Provider Identifier
1427895705
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EMPOWER MEDICAL
Practice address
802 Laporte Ave Unit 131
Valparaiso, IN 46383
Phone
(219) 200-2022
NPI assigned
Jul 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Jana Stedman, PA-CNPI 1205210861
Title
Ceo
Phone
(515) 230-4062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

802 Laporte Ave Unit 131
Valparaiso, IN 46383

Mailing address

PO Box 3231
Munster, IN 46321-0231
Phone (192) 200-2022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241119000806 IN Part B Supplier - Clinic/Group Practice 4587199211 Receives reassigned benefits from 1 practitioner
Practice locations: Valparaiso, IN

National Provider Directory

National Provider Directory

Locations

802 Laporte Ave
#131
Valparaiso, IN 46383
Phone (219) 200-2022

802 Laporte Ave
Unit 131
Valparaiso, IN 46383
Phone (219) 200-2022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1427895705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3231",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210231",
            "telephone_number": "192-200-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 LAPORTE AVE UNIT 131",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46383",
            "telephone_number": "219-200-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "STEDMAN",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-230-4062",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.