Active NPI
Brittany C Hausmann, AGACNP-BC
- Gerontology Nurse Practitioner
- East Chicago, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 71004761A
- Practice address
- 4321 Fir St
East Chicago, IN 46312-3097 - Phone
- (219) 392-7400
- NPI assigned
- Dec 5, 2013
- Last updated
- Mar 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 28211504A | IN | |
| Gerontology Nurse Practitioner | 363LG0600X | 71004761A | IN | Primary |
Addresses
Primary practice location
4321 Fir St
East Chicago, IN 46312-3097
Mailing address
8865 W 400 N
Suite 125
Michigan City, IN 46360-9222
Phone (219) 878-9488
Other practice location 1
8865 W 400 N
Suite 125
Michigan City, IN 46360-9222
Phone (219) 878-9488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201210960 | Medicaid | IN |
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
Enrollment records 1
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
Practice addresses (Care Compare)
10700 Park PL
Saint John, IN 46373-8666
Phone (800) 509-2800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28211504A | IN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Catherine Hospital Inc | Current | Accepting new patients | |
| Community Care Network Inc | Current | Accepting new patients | |
| Rest Haven Illiana Christian Convalescent Home | Current | Accepting new patients | |
| St. Catherine Hospital Inc. | Current | Accepting new patients | |
| Indiana Surgical Associates PC | Current | Accepting new patients | |
| Healthpoint Wellness LLC | Past | Accepting new patients |
Locations
18670 Graphics Dr
Ste 106
Tinley Park, IL 60477
4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700
7895 Grand Blvd
Hobart, IN 46342
Phone (219) 947-1910
9120 Columbia Ave
Munster, IN 46321
Phone (219) 513-9415
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
Organizations & group practices 6
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.
-
dba Providence Hospice
- Community Based Hospice Care Agency
- Saint John, IN
- NPI 1548614910
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
-
- Surgery Physician
- Hobart, IN
- NPI 1679616296
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1396847596
-
dba St.Catherine Hospital Outpatient Pharmacy
- Community/Retail Pharmacy
- East Chicago, IN
- NPI 1568806057
-
- Public Health & General Preventive Medicine Physician
- Hobart, IN
- NPI 1346854817
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Hospice
- Community Based Hospice Care Agency
- Saint John, IN
- NPI 1548614910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1609207323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8865 W 400 N",
"address_2": "SUITE 125",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463609222",
"telephone_number": "219-878-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 FIR ST",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123097",
"telephone_number": "219-392-7400"
}
],
"practiceLocations": [
{
"address_1": "8865 W 400 N",
"address_2": "Suite 125",
"address_purpose": "LOCATION",
"city": "Michigan City",
"state": "IN",
"postal_code": "463609222",
"country_code": "US",
"telephone_number": "219-878-9488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUSMANN",
"first_name": "BRITTANY",
"middle_name": "C",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-05",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "28211504A",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IN",
"license": "71004761A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201210960",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Chicago, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.