Individual provider Active NPI

Brittany Nichole Lynn

  • Family Nurse Practitioner
  • La Porte, IN
National Provider Identifier
1578264438
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28229478A Issued in IN
Practice address
401 Newport Blvd
La Porte, IN 46350-4099
Phone
(219) 326-1775
Fax
(219) 326-1951
NPI assigned
Mar 16, 2023
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28229478A IN Primary

Addresses

Primary practice location

401 Newport Blvd
La Porte, IN 46350-4099

Mailing address

401 Newport Blvd
La Porte, IN 46350-4099
Phone (219) 326-1775

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
I20230522000335 IN Practitioner - Nurse Practitioner 4183080963 Reassigns benefits to 1 organization

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
La Porte Clinic Company LLCGroup PAC ID 0446558357, 66 clinicians

Practice addresses (Care Compare)

104 E Culver Rd
Knox, IN 46534-2241

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28229478AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte Clinic Company LLC CurrentSince Jun 15, 2023 Accepting new patients
La Porte Clinic Company LLC CurrentSince Jun 15, 2023 Accepting new patients

Locations

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

400 Legacy Plz W
La Porte, IN 46350
Phone (219) 326-1775

401 Newport Blvd
Laporte, IN 46350
Phone (219) 326-1775

3777 N Frontage Rd
Ste 500
Michigan City, IN 46360
Phone (219) 809-2889

6923 W 400 N
Michigan City, IN 46360
Phone (219) 325-0604

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 5

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": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1578264438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NEWPORT BLVD",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463504099",
            "telephone_number": "219-326-1775",
            "fax_number": "219-326-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NEWPORT BLVD",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463504099",
            "telephone_number": "219-326-1775",
            "fax_number": "219-326-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "BRITTANY",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28229478A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.