Individual provider Active NPI

Denise Catherine Poppen-Szynal, FNP-BC

  • Family Nurse Practitioner
  • Munster, IN
National Provider Identifier
1528494655
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004723A Issued in IN
Practice address
9445 Calumet Ave
Munster, IN 46321-2811
Phone
(219) 836-2055
Fax
(219) 836-0355
NPI assigned
Sep 20, 2013
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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 28185396A IN
Family Nurse Practitioner 363LF0000X 71004723A IN Primary

Addresses

Primary practice location

9445 Calumet Ave
Munster, IN 46321-2811

Mailing address

8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084

Other practice location 1

921 Fran Lin Pkwy
Munster, IN 46321-3540
Phone (219) 703-2448

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
I20140313000061 IN Practitioner - Nurse Practitioner 5092945022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

911 Fran Lin Pkwy
Munster, IN 46321-3540

9130 Columbia Ave
Munster, IN 46321-2932

921 Fran Lin Pkwy
Munster, IN 46321-3540
Phone (219) 836-1310

931 Fran Lin Pkwy
Munster, IN 46321-3540
Phone (219) 513-0107

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28185396AINMDFamily Nurse Practitioner
71004723AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince Jan 1, 2019 Accepting new patients
North Point Orthopedics LLC CurrentSince May 16, 2021 Accepting new patients

Locations

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

1730 45th St
Munster, IN 46321
Phone (219) 836-9677

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

921 Fran Lin Pkwy
Munster, IN 46321
Phone (219) 836-0488

9445 Calumet Ave
Munster, IN 46321
Phone (219) 836-1060

Interoperability endpoints

  • Direct secure messaging: dpoppen10091@ssdirect.comhs.org

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.

Hospital & facility affiliations 6

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": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1528494655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-392-7084",
            "fax_number": "219-703-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212811",
            "telephone_number": "219-836-2055",
            "fax_number": "219-836-0355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Fran Lin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463213540",
            "country_code": "US",
            "telephone_number": "219-703-2448",
            "fax_number": "219-703-6903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPPEN-SZYNAL",
        "first_name": "DENISE",
        "middle_name": "CATHERINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28185396A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004723A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.