Nicolette Sue Alexander, NP
Individual provider Active NPI Family Nurse Practitioner · Michigan City, IN
NPI 1437347358 · NPPES record last updated Feb 10, 2023
Key facts
- NPI
- 1437347358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71002483A (IN)
- Practice address
- 1225 E Coolspring Ave Ste 2E
Michigan City, IN 46360-6312 - Phone
- (219) 878-5046
- Fax
- (219) 873-2943
- NPI assigned
- Oct 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Franciscan Physician Network
Select Rehabilitation, LLC
Practice addresses (Care Compare)
1225 E Coolspring Ave
Michigan City, IN 46360-6312
Phone (219) 879-6531
2600 Compass Rd
Glenview, IL 60026-8001
Hospital & facility affiliations
- Franciscan Home Care
- Franciscan Health Michigan City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080312000088 | IN | Practitioner - Nurse Practitioner | 5092890251 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002483A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current |
Accepting new patients | |
| Franciscan Physician Network | Current |
Accepting new patients |
Locations
35682 Eagle Way
Chicago, IL 60678
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886
1225 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 873-2919
3500 Franciscan Way
Ste 300
Michigan City, IN 46360
Phone (219) 214-4633
1225 E Coolspring Ave
Ste 2E
Michigan City, IN 46360
Phone (219) 878-5014
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- nalexander5709@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71002483A | IN | Yes |
Addresses
Primary practice location
1225 E Coolspring Ave Ste 2E
Michigan City, IN 46360-6312
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200889540 | Medicaid | IN | |
| 536057 | Other | IN | ANTHEM |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nalexander5709@Direct.FranciscanAlliance.org | Direct |
Other providers in Michigan City, IN
- Sakif Ahmed
- Umair Ahmed
- Mutasem Al-Thweib
- Patrick David Albert
- Michelle Batacan Alexander
- Alick'S Home Medical Equipment, Inc
- Larisa I Allakhverdova
- Joy C Allen
- Monica Almy-Boylan
- American Limb & Orthopedic Company of Valparaiso
All providers in Michigan City, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.