Active NPI
Tina Marie Kocher, RN, NP
- Family Nurse Practitioner
- Elkhart, IN
National Provider Identifier
1508105818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71000224A
- Practice address
- 500 Arcade Ave
Ste 210
Elkhart, IN 46514-2485 - Phone
- (574) 389-5656
- Fax
- (574) 523-7891
- NPI assigned
- Feb 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71000224A | IN | Primary |
Addresses
Primary practice location
500 Arcade Ave
Ste 210
Elkhart, IN 46514-2485
Mailing address
3245 Health Drive
Suite 100
Granger, IN 46530-3245
Phone (574) 647-1840
Other practice location 1
621 Memorial Dr
Ste 624
South Bend, IN 46601-1063
Phone (574) 647-1100
Other practice location 2
5314 Lincolnway E
Mishawaka, IN 46544-4249
Phone (574) 256-9032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201257130 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tkocher@mybeacon.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Interoperability endpoints
- tkocher@mybeacon.cernerdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1508105818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DRIVE",
"address_2": "SUITE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465303245",
"telephone_number": "574-647-1840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ARCADE AVE",
"address_2": "STE 210",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142485",
"telephone_number": "574-389-5656",
"fax_number": "574-523-7891"
}
],
"practiceLocations": [
{
"address_1": "621 Memorial Dr",
"address_2": "Ste 624",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466011063",
"country_code": "US",
"telephone_number": "574-647-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5314 Lincolnway E",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465444249",
"country_code": "US",
"telephone_number": "574-256-9032",
"fax_number": "574-256-9049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOCHER",
"first_name": "TINA",
"middle_name": "MARIE",
"credential": "RN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-06",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71000224A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201257130",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tkocher@mybeacon.cernerdirect.com",
"affiliation": "N",
"address_1": "621 Memorial Dr Ste 100",
"city": "South Bend",
"state": "IN",
"country_code": "US",
"postal_code": "466011063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.