Individual provider Active NPI

Ashley Gacsy, NP-C

  • Family Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1528447299
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005527A Issued in IN
Practice address
1805 Calumet Ave
Valparaiso, IN 46383-3130
Phone
(866) 389-2727
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2817422A IN
Family Nurse Practitioner 363LF0000X 71005527A IN Primary

Addresses

Primary practice location

1805 Calumet Ave
Valparaiso, IN 46383-3130

Mailing address

1805 Calumet Ave
Valparaiso, IN 46383-3130

Other identifiers 2

IdentifierTypeStateIssuer
IN2920084OtherINMEDICARE PTAN
201331780MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ashley.Gacsy@laportehosp.cernerdirect.com

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
I20150722005834 IN Practitioner - Nurse Practitioner 3577876358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostics of Indiana LLCGroup PAC ID 3072548502, 121 clinicians

Practice addresses (Care Compare)

1805 Calumet Ave
Valparaiso, IN 46383-3130
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2817422AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Jun 17, 2015 Accepting new patients
La Porte Clinic Company LLC CurrentSince Nov 1, 2017 Accepting new patients
Parkview Health System Inc Family Current Accepting new patients
Parkview Health System,Inc. CurrentSince Feb 27, 2016 Accepting new patients
La Porte Clinic Company LLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

6279 E State Blvd
Fort Wayne, IN 46815
Phone (260) 492-0951

11104 Parkview Circle Dr
Ste 310
Fort Wayne, IN 46845
Phone (260) 266-5230

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

1509 State St
Laporte, IN 46350
Phone (219) 324-3431

1805 Calumet Ave
Valparaiso, IN 46383
Phone (219) 464-2141

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ashley.gacsy@laportehosp.cernerdirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1528447299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833130",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACSY",
        "first_name": "ASHLEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "2817422A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005527A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IN2920084",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201331780",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ashley.Gacsy@laportehosp.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1509 State St",
            "city": "LA Porte",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463503115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.