Individual provider Active NPI

Agnes Errihani, NP

  • Nurse Practitioner
  • Munster, IN
National Provider Identifier
1619574084
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71010447A Issued in IN
Practice address
9711 Valparaiso Dr Ste B
Munster, IN 46321-2910
Phone
(219) 595-5394
NPI assigned
Oct 7, 2020
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71010447A IN Primary

Addresses

Primary practice location

9711 Valparaiso Dr Ste B
Munster, IN 46321-2910

Mailing address

9218 W 96TH Ave
Saint John, IN 46373-8773

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
I20201027000620 IN Practitioner - Nurse Practitioner 7416377791 Reassigns benefits to 2 organizations
I20250522002874 IL Practitioner - Nurse Practitioner 7416377791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Mary Tilak PCGroup PAC ID 1951490390, 9 clinicians

Practice addresses (Care Compare)

6625 W Lincoln Hwy
Crown Point, IN 46307-9678
Phone (219) 922-8051

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71010447AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mary Tilak PC CurrentSince Jun 1, 2025 Accepting new patients
Sound Physicians of Illinois, LLC CurrentSince Apr 1, 2025 Accepting new patients
Layous LLC CurrentSince Oct 19, 2020 Accepting new patients
Community Care Network Inc Nurse Practitioner Past Accepting new patients
Cardiovascular Consultants PC Past Accepting new patients

Locations

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

1275 E North St
Ste 102
Crown Point, IN 46307
Phone (219) 922-8051

6625 W US Highway 30
Crown Point, IN 46307
Phone (219) 440-5360

2241 45th St
Highland, IN 46322
Phone (219) 738-1736

501 45th St
Munster, IN 46321
Phone (219) 513-8923

9410 Calumet Ave
Ste 101
Munster, IN 46321
Phone (219) 922-8051

9711 Valparaiso Dr
Ste B
Munster, IN 46321
Phone (219) 595-5394

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBEIBA

Organizations & group practices 5

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 5

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1619574084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9218 W 96TH AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 VALPARAISO DR STE B",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212910",
            "telephone_number": "219-595-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERRIHANI",
        "first_name": "AGNES",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010447A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.