Active NPI
Nicole Nebbeling, DAOM
- Acupuncturist
- Crown Point, IN
National Provider Identifier
1619338407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 84000213A
- Practice address
- 138 S Main St
Suite #306
Crown Point, IN 46307 - Phone
- (773) 747-5320
- NPI assigned
- Mar 8, 2016
- Last updated
- Jan 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198001295 | IL | |
| Acupuncturist | 171100000X | 84000213A | IN | Primary |
Addresses
Primary practice location
138 S Main St
Suite #306
Crown Point, IN 46307
Mailing address
4812 W 121St Ave
Crown Point, IN 46307
Phone (773) 227-9150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198001295 | IL | MD | Acupuncturist |
| 84000213A | IN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1619338407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4812 W 121ST AVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "46307",
"telephone_number": "773-227-9150",
"fax_number": "773-227-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 S MAIN ST",
"address_2": "SUITE #306",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "46307",
"telephone_number": "773-747-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEBBELING",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "DAOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-08",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198001295",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IN",
"license": "84000213A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.