Individual provider Active NPI

Lisa Poradzisz

  • Family Nurse Practitioner
  • Munster, IN
National Provider Identifier
1619448735
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008611A Issued in IN
Practice address
10012 Calumet Ave Ste a
Munster, IN 46321-4055
Phone
(219) 227-5119
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008611A IN Primary

Addresses

Primary practice location

10012 Calumet Ave Ste a
Munster, IN 46321-4055

Mailing address

10012 Calumet Ave Ste a
Munster, IN 46321-4055
Phone (219) 227-5119

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
I20190107001954 IN Practitioner - Nurse Practitioner 3870839228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GN Endocrinology LTDGroup PAC ID 3779891494, 7 clinicians

Practice addresses (Care Compare)

10012 Calumet Ave
Suite a
Munster, IN 46321-4055
Phone (219) 440-5350

Hospital & facility affiliations

  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
  • Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71008611AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GN Endocrinology LTD CurrentSince Dec 1, 2018 Accepting new patients

Locations

174 Bracken Pkwy
Hobart, IN 46342
Phone (219) 227-5119

10012 Calumet Ave
#A
Munster, IN 46321
Phone (219) 227-5119

401 Wall St
Unit C
Valparaiso, IN 46383
Phone (219) 464-2020

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1619448735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 CALUMET AVE STE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214055",
            "telephone_number": "219-227-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 CALUMET AVE STE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214055",
            "telephone_number": "219-227-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORADZISZ",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008611A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.