Individual provider Active NPI

Anna Marie Gick, DNP, CPNP

  • Pediatric Nurse Practitioner
  • Lafayette, IN
National Provider Identifier
1487432704
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71015851A Issued in IN
Practice address
2316 South St
Lafayette, IN 47904-2971
Phone
(765) 742-1567
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28267124A IN
Pediatric Nurse Practitioner 363LP0200X 71015851A IN Primary

Addresses

Primary practice location

2316 South St
Lafayette, IN 47904-2971

Mailing address

4519 N 100 E
Fowler, IN 47944-8041

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
I20241031001763 IN Practitioner - Nurse Practitioner 9638602477 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71015851AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riggs Community Health Center Inc CurrentSince Oct 24, 2024 Accepting new patients
Riggs Community Health Center Inc Past Accepting new patients

Locations

1324 Tippecanoe St
Lafayette, IN 47904
Phone (765) 742-1567

2316 South St
Lafayette, IN 47904
Phone (765) 447-6969

1716 Hartford St
Lafayette, IN 47904
Phone (765) 742-1567

Organizations & group practices 2

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1487432704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 N 100 E",
            "city": "FOWLER",
            "state": "IN",
            "postal_code": "479448041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 SOUTH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042971",
            "telephone_number": "765-742-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GICK",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "credential": "DNP, CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28267124A",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71015851A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.