Individual provider Active NPI

Pratima Dhakal, FNP

  • Family Nurse Practitioner
  • South Bend, IN
National Provider Identifier
1619447976
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008551B Issued in IN
Practice address
1251 N Eddy St Ste 200
South Bend, IN 46617-1478
Phone
(833) 387-7440
Fax
(773) 645-0730
NPI assigned
Nov 29, 2018
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008551B IN Primary
Family Nurse Practitioner 363LF0000X 71008551A IN

Addresses

Primary practice location

1251 N Eddy St Ste 200
South Bend, IN 46617-1478

Mailing address

1251 N Eddy St Ste 200
South Bend, IN 46617-1478
Phone (833) 387-7440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220810001099 IN Practitioner - Nurse Practitioner 5799115747 Reassigns benefits to 2 organizations
I20260108001778 IL Practitioner - Nurse Practitioner 5799115747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Midwest Home Physicians IncGroup PAC ID 0941613426, 6 clinicians
Fishers Urgent Care LLCGroup PAC ID 1052500584, 2 clinicians

Practice addresses (Care Compare)

1251 N Eddy St
200 Home Office
South Bend, IN 46617-1478
Phone (216) 243-9188

6421 N Hamlin Ave
Suite F
Lincolnwood, IL 60712-4041
Phone (833) 387-7440

9757 Westpoint Dr
Suite 100
Indianapolis, IN 46256-3329
Phone (317) 436-8712

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71008551AINMDFamily Nurse Practitioner
71008551BINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fishers Urgent Care LLC CurrentSince Jul 26, 2022 Accepting new patients
Midwest Home Physicians Inc CurrentSince Jul 4, 2024 Accepting new patients

Locations

6421 N Hamlin Ave
Ste F
Lincolnwood, IL 60712
Phone (847) 324-9728

11680 Commercial Dr
Ste 100
Fishers, IN 46038
Phone (317) 436-8712

11680 Commercial Dr
Ste 200
Fishers, IN 46038
Phone (317) 436-8712

9757 Westpoint Dr
Ste 100
Indianapolis, IN 46256
Phone (317) 577-2779

1251 N Eddy St
Ste 200
South Bend, IN 46617
Phone (219) 286-7258

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 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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1619447976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 N EDDY ST STE 200",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171478",
            "telephone_number": "833-387-7440",
            "fax_number": "773-645-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 N EDDY ST STE 200",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171478",
            "telephone_number": "833-387-7440",
            "fax_number": "773-645-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAKAL",
        "first_name": "PRATIMA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008551B",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008551A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.