Sidnee Rae Majchrzak, MSN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · North Judson, IN
NPI 1558063891 · NPPES record last updated Mar 20, 2023
Key facts
- NPI
- 1558063891
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F03230553 (IN)
- Practice address
- 701 W Talmer Ave
North Judson, IN 46366-1335 - Phone
- (574) 896-5533
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- La Porte Clinic Company LLC
Practice addresses (Care Compare)
104 E Culver Rd
Knox, IN 46534-2241
701 W Talmer Ave
North Judson, IN 46366-1335
Phone (574) 896-5533
Hospital & facility affiliations
- Northwest Health - Starke
- Northwest Health-la Porte
- Northwest Health - Porter
- Pulaski Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.68 of 100
- Quality
- 76.2
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230523000503 | IN | Practitioner - Nurse Practitioner | 0840656518 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F03230553 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Porte Clinic Company LLC | Current |
Accepting new patients | |
| La Porte Clinic Company LLC | Current |
Accepting new patients |
Locations
104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300
104 E Culver Rd
Ste 102
Knox, IN 46534
Phone (574) 772-1580
701 W Talmer Ave
North Judson, IN 46366
Phone (574) 896-5533
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F03230553 | IN | Yes |
Addresses
Primary practice location
701 W Talmer Ave
North Judson, IN 46366-1335
Mailing address
7058 N 725 W
Winamac, IN 46996-8271
Phone (574) 806-5484
Other providers in North Judson, IN
- Hook-Superx LLC
- Integrity Power Mobility, LLC
- La Porte Regional Physician Network
- La Porte Regional Physician Network
- Julie Podell Lena
- Med One Mobile
- Med One Mobile LLC
- North Judson-San Pierre School Corporation
- Northernwinds Inc
- Adam Steven Novath
All providers in North Judson, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.