Jennifer Bosak, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71012008A Issued in IN

Practice address

31 Sibley St Ste a
Hammond, IN 46320-1725

Phone

(219) 802-8800

NPI assigned

Nov 23, 2021

Sex

Female

Sole proprietor

No

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.

• Nwi Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Munster, IN
  • NPI 1043596703

  IN

  Medicare reassignment Care Compare group NPD
• Midwest Express Care 4 LLC

  • Urgent Care Clinic/Center
  • Hammond, IN
  • NPI 1629502810

  IN

  Medicare reassignment Care Compare group
• Midwest Express Care, Inc

  • Urgent Care Clinic/Center
  • Schererville, IN
  • NPI 1942642848

  IN

  Medicare reassignment
• Midwest Express Care 4 LLC

  • Urgent Care Clinic/Center
  • Merrillville, IN
  • NPI 1255178125
  Care Compare group
• Midwest Express Care 4 LLC

  • Urgent Care Clinic/Center
  • Merrillville, IN
  • NPI 1619536067
  Care Compare group
• Midwest Express Care 4 LLC

  • Urgent Care Clinic/Center
  • Portage, IN
  • NPI 1962249839
  Care Compare group
• Midwest Express Care 4, LLC

  • Urgent Care Clinic/Center
  • Griffith, IN
  • NPI 1811571052
  Care Compare group
• Midwest Express Care 4, LLC

  • Urgent Care Clinic/Center
  • Hammond, IN
  • NPI 1912663501
  Care Compare group
• The Methodist Hospitals, Inc

  • Internal Medicine Physician
  • Gary, IN
  • NPI 1720290349
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Express Care 4 LLC 64 clinicians

Nwi Urgent Care, LLC 45 clinicians

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

• Jennifer Busse Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 1, 2022.

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1497412571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SIBLEY ST STE A",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201725",
            "telephone_number": "219-802-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SIBLEY ST STE A",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201725",
            "telephone_number": "219-802-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSAK",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28229924A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012008A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BUSSE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana L. Biniewicz, CRNA
• Blue Skies Hospice Inc
• Blue Skies Medical Incorporated
• Michele Bonneau, CRNA
• Veronica Booker, MSW
• Andrea Lynn Boyd, PH.D.
• Lauren Elizabeth Brady
• Jennifer Braggs, MSN, CPNP
• Michelle Brannon
• Billie Eden Brenner, MD

• All providers in Hammond, IN
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.