Individual provider Active NPI

Victoria Barajas

  • Family Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1487098935
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28164204A Issued in IN
Practice address
2272 N Main St
Crown Point, IN 46307-1802
Phone
(219) 286-4518
NPI assigned
Apr 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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 28164204A IN Primary

Addresses

Primary practice location

2272 N Main St
Crown Point, IN 46307-1802

Mailing address

7739 E 112TH Ave
Crown Point, IN 46307-5700

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
I20131213001705 IN Practitioner - Nurse Practitioner 9638306830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GN Endocrinology LTDGroup PAC ID 3779891494, 7 clinicians

Practice addresses (Care Compare)

174 Bracken Pkwy
Hobart, IN 46342-6789
Phone (219) 945-3070

Hospital & facility affiliations

  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28164204AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GN Endocrinology LTD CurrentSince Jun 6, 2017 Accepting new patients

Locations

174 Bracken Pkwy
Hobart, IN 46342
Phone (219) 227-5119

10012 Calumet Ave
#A
Munster, IN 46321
Phone (219) 227-5119

401 Wall St
Unit C
Valparaiso, IN 46383
Phone (219) 464-2020

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 5

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": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1487098935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7739 E 112TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 N MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071802",
            "telephone_number": "219-286-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAJAS",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28164204A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.