Individual provider Active NPI

Mei Wang, APNP

  • Nurse Practitioner
  • South Bend, IN
National Provider Identifier
1538843370
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71014443A Issued in IN
Practice address
53760 Generations Dr
South Bend, IN 46635-1539
Phone
(888) 938-3838
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71014443A IN Primary

Addresses

Primary practice location

53760 Generations Dr
South Bend, IN 46635-1539

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (800) 938-3838

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
I20230621001543 IN Practitioner - Nurse Practitioner 4981062122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Sleep and Nasal Sinus Disorders, LLCGroup PAC ID 7911236039, 9 clinicians

Practice addresses (Care Compare)

53760 Generations Dr
South Bend, IN 46635-1539
Phone (574) 500-2010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71014443AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Informe Healthcare LLC Family CurrentSince Jun 6, 2023 Accepting new patients
Center for Sleep and Nasal Sinus Disorders, LLC CurrentSince Nov 12, 2024 Accepting new patients
Center for Sleep and Nasal Sinus Disorders, LLC Past Accepting new patients

Locations

7388 Business Center Dr
Avon, IN 46123
Phone (317) 272-0480

2606 Peddlers Village Rd
Ste 215
Goshen, IN 46526
Phone (574) 534-1135

745 N Swope St
Greenfield, IN 46140
Phone (317) 462-9221

6920 S East St
Ste B
Indianapolis, IN 46227
Phone (317) 497-6880

9500 Priority Way West Dr
#100
Indianapolis, IN 46240

811 E 12th St
Mishawaka, IN 46544
Phone (574) 249-1917

609 Tanglewood Ln
Mishawaka, IN 46545
Phone (574) 277-2500

53760 Generations Dr
South Bend, IN 46635
Phone (219) 247-4444

1121 E Lasalle Ave
South Bend, IN 46617
Phone (574) 287-6501

1950 Ridgedale Rd
#R
South Bend, IN 46614
Phone (574) 291-6722

17475 Dugdale Dr
South Bend, IN 46635
Phone (574) 247-7500

2741 W Layton Ave
Ste 106
Milwaukee, WI 53221

10001 W Innovation Dr
Ste 200
Wauwatosa, WI 53226

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19820/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1538843370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "800-938-3838",
            "fax_number": "888-919-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53760 GENERATIONS DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351539",
            "telephone_number": "888-938-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "MEI",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71014443A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.