Individual provider Active NPI

Elizabeth Case

  • Family Nurse Practitioner
  • Highland, IN
National Provider Identifier
1629447891
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005824A Issued in IN
Practice address
2241 45TH St
Highland, IN 46322-2601
Phone
(219) 922-8051
NPI assigned
Sep 17, 2015
Last updated
Oct 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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 71005824A IN Primary

Addresses

Primary practice location

2241 45TH St
Highland, IN 46322-2601

Mailing address

2241 45TH St
Highland, IN 46322-2601

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
I20160422001440 IN Practitioner - Nurse Practitioner 0446559611 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

10240 Calumet Ave
Munster, IN 46321-4082
Phone (219) 836-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71005824AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mary Tilak PC CurrentSince Jun 1, 2016 Accepting new patients
219 Health Network Inc Family CurrentSince Jun 1, 2020 Accepting new patients
219 Health Network, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Cardiovascular Consultants PC Past Accepting new patients

Locations

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

100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016

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

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

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

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

1516 119th St
Whiting, IN 46394
Phone (219) 703-2550

Interoperability endpoints

  • Direct secure messaging: ecase8392@ssdirect.comhs.org
  • 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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1629447891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222601",
            "telephone_number": "219-922-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005824A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.