Individual provider Active NPI

Rebecca Krilich, FNP

  • Family Nurse Practitioner
  • Dyer, IN
National Provider Identifier
1467118034
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011778A Issued in IN
Practice address
15900 W 101St Ave
Dyer, IN 46311-3065
Phone
(219) 365-6333
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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 71011778A IN Primary

Addresses

Primary practice location

15900 W 101St Ave
Dyer, IN 46311-3065

Mailing address

15900 W 101St Ave
Dyer, IN 46311-3065
Phone (219) 365-6333

Other practice location 1

16000 W 101st Ave
Dyer, IN 46311
Phone (219) 365-6333

Other names 1

  • Rebecca Tortolano Former name

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
I20220411001338 IN Practitioner - Nurse Practitioner 5597151019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marcotte Medical Group PCGroup PAC ID 2769453166, 11 clinicians

Practice addresses (Care Compare)

16000 W 101St Ave
Marcotte Medical Group SC
Dyer, IN 46311-3065
Phone (219) 365-6333

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marcotte Medical Group, PC CurrentSince Jan 8, 2022 Accepting new patients

Locations

15900 W 101st Ave
Dyer, IN 46311
Phone (219) 365-6333

15900 W 101st Ave
#0
Dyer, IN 46311

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBFGAA

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1467118034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 W 101ST AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113065",
            "telephone_number": "219-365-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 W 101ST AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113065",
            "telephone_number": "219-365-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16000 W 101st Ave",
            "address_purpose": "LOCATION",
            "city": "Dyer",
            "state": "IN",
            "postal_code": "46311",
            "country_code": "US",
            "telephone_number": "219-365-6333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRILICH",
        "first_name": "REBECCA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011778A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "TORTOLANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.