Active NPI
James Michael Vandermark, FNP-C
- Family Nurse Practitioner
- Schererville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71012159A
- Practice address
- 1500 US Highway 41
Schererville, IN 46375-1316 - Phone
- (219) 440-7373
- NPI assigned
- Dec 6, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71012159A | IN | Primary |
| Registered Nurse | 163W00000X | 28244587A | IN |
Addresses
Primary practice location
1500 US Highway 41
Schererville, IN 46375-1316
Mailing address
1500 US Highway 41
Schererville, IN 46375-1316
Phone (219) 440-7373
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10176 W 400 N B
The Vanguard Medical Group
Michigan City, IN 46360-9009
Phone (219) 301-2633
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71012159A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Center for Pain Control LLC | Current | Accepting new patients | |
| Axess Clinic and Diagnostics LLC | Current | Accepting new patients |
Locations
300 W 80th Pl
Ste D
Merrillville, IN 46410
Phone (219) 769-6037
10176 W 400 N
Ste A
Michigan City, IN 46360
Phone (219) 809-9839
10176 W 400 N
Ste B
Michigan City, IN 46360
Phone (219) 301-2633
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 and National Provider Directory roles.
-
dba The Vanguard Medical Group
- Pain Medicine (Anesthesiology) Physician
- Michigan City, IN
- NPI 1437556941
-
- Pain Medicine (Anesthesiology) Physician
- Michigan City, IN
- NPI 1588250534
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1609534791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 US HIGHWAY 41",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751316",
"telephone_number": "219-440-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 US HIGHWAY 41",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751316",
"telephone_number": "219-440-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERMARK",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-06",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71012159A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28244587A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.