Winfield Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WINFIELD FAMILY MEDICINE LLC

Practice address

9150 E 109TH Ave Ste 2a
Crown Point, IN 46307-7686

Phone

(219) 226-1529

Fax

(219) 226-2994

NPI assigned

May 16, 2006

Last updated

Jun 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brent Jacobus, DO, FACOFPNPI 1902807589

Title

Physician/Owner

Phone

(219) 226-1529

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18290/brand/1/csg/1/fhir/r4

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miranda Louise Faris, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Demotte, IN
  • NPI 1659903144
  Medicare reassignment Care Compare group NPD
• Brent A Jacobus, D.O.

  • Family Medicine Physician
  • Crown Point, IN
  • NPI 1902807589
  Medicare reassignment NPD Authorized official
• Tity Mae Kpandeyenge, M.D.

  • Family Medicine Physician
  • Buffalo, NY
  • NPI 1134506702

  IN

  Medicare reassignment Care Compare group NPD
• Brett A Brechner, DO

  • Family Medicine Physician
  • Crown Point, IN
  • NPI 1629079108
  Medicare reassignment NPD
• Diane Dinino, PT

  • Physical Therapist
  • Munster, IN
  • NPI 1215970983
  Medicare reassignment NPD
• Omar H Ferrario, PT

  • Physical Therapist
  • Merrillville, IN
  • NPI 1518039874
  Medicare reassignment NPD
• Michelle Hoover

  • Family Nurse Practitioner
  • Crown Point, IN
  • NPI 1669781829
  Medicare reassignment NPD
• David Allen Hudak Jr., P.T.

  • Physical Therapist
  • Munster, IN
  • NPI 1144369687
  Medicare reassignment NPD
• Doran Lounsbury, PT

  • Physical Therapist
  • Michigan City, IN
  • NPI 1144391939
  Medicare reassignment NPD
• Lori Jayne Murphy

  • Occupational Therapist
  • Chesterton, IN
  • NPI 1568696284
  Medicare reassignment NPD
• Kate O'Farrell, FNP-C

  • Nurse Practitioner
  • Valparaiso, IN
  • NPI 1750053526
  Medicare reassignment NPD
• Brittney Elizabeth Owen, FNP-BC

  • Family Nurse Practitioner
  • Crown Point, IN
  • NPI 1184092579
  Medicare reassignment NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1568413177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 E 109TH AVE",
            "address_2": "STE 2A",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077686",
            "telephone_number": "219-226-1529",
            "fax_number": "219-226-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 E 109TH AVE STE 2A",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077686",
            "telephone_number": "219-226-1529",
            "fax_number": "219-226-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINFIELD FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "JACOBUS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "219-226-1529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, FACOFP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Ardenia Wilson, CD(DONA)
• Chyrl Wilson, PSYD, HSPP
• Domonique N Wilson, FNP-BC
• Michael Wilson
• Shakithy Derae Wilson
• Winfield Woods Chiropractic, Inc.
• Michelle Winiecki
• Kristy Nicole Wireman, COTA
• Jeremy Wirtz, MS
• Christina Witkowski, MA, BCBA

• Family Medicine Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.