Individual provider Active NPI

Brittany C Hausmann, AGACNP-BC

  • Gerontology Nurse Practitioner
  • East Chicago, IN
National Provider Identifier
1609207323
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71004761A Issued in IN
Practice address
4321 Fir St
East Chicago, IN 46312-3097
Phone
(219) 392-7400
NPI assigned
Dec 5, 2013
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201210960MedicaidIN

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
I20140317001025 IN Practitioner - Nurse Practitioner 0749411718 Reassigns benefits to 4 organizations

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

LicenseStateTypeSpecialty
28211504AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Catherine Hospital Inc CurrentSince Mar 2, 2022 Accepting new patients
Community Care Network Inc CurrentSince Apr 1, 2022 Accepting new patients
Rest Haven Illiana Christian Convalescent Home CurrentSince Mar 3, 2025 Accepting new patients
St. Catherine Hospital Inc. CurrentSince Mar 2, 2022 Accepting new patients
Indiana Surgical Associates PC CurrentSince Oct 1, 2015 Accepting new patients
Healthpoint Wellness LLC PastSince Sep 6, 2020 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.