Active NPI
Renee Sommers-Beagle
- Neonatal Nurse Practitioner
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 71017566A
- Practice address
- 1701 S Creasy LN
Lafayette, IN 47905-4972 - Phone
- (765) 502-4000
- NPI assigned
- Jan 3, 2014
- Last updated
- Feb 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704261116 | MI | |
| Neonatal Nurse Practitioner | 363LN0000X | 4704261116 | MI | |
| Neonatal Nurse Practitioner | 363LN0000X | 71017566A | IN | Primary |
Addresses
Primary practice location
1701 S Creasy LN
Lafayette, IN 47905-4972
Mailing address
250 W 96TH St Ste 520
Indianapolis, IN 46260-1317
Other names 1
- Renee Sommers
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rsommersbeagle101311@epic00.shdirect.org | ||
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
250 W 96TH St
Indianapolis, IN 46260-1316
PO Box
Belfast, ME 04915
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71017566A | IN | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Pediatric Subspecialties | Nurse Practitioner | Current | Accepting new patients |
| Mecosta County Medical Center | Current | Accepting new patients | |
| St Vincent Pediatric Subspecialties | Nurse Practitioner | Current | Accepting new patients |
| Neo Natal Associates PLC | Past | Accepting new patients |
Locations
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
Interoperability endpoints
- rsommersbeagle101311@epic00.corewelldirect.org
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1013967736
Nurse Practitioner
-
dba Spectrum Health Big Rapids Hospital
- Cardiovascular Disease Physician
- Big Rapids, MI
- NPI 1386693471
-
dba Corewell Health Ludington Hospital
- General Acute Care Hospital
- Ludington, MI
- NPI 1972589489
-
dba Corewell Health Greenville Hospital
- General Acute Care Hospital
- Greenville, MI
- NPI 1457304495
-
- Pediatric Critical Care Medicine Physician
- Evansville, IN
- NPI 1851950224
Nurse Practitioner
-
- Neonatal-Perinatal Medicine Physician
- Grand Rapids, MI
- NPI 1720489453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1629499058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W 96TH ST STE 520",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S CREASY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054972",
"telephone_number": "765-502-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMMERS-BEAGLE",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-03",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704261116",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MI",
"license": "4704261116",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "IN",
"license": "71017566A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rsommersbeagle101311@epic00.shdirect.org",
"affiliation": "N",
"address_1": "100 Michigan St NE",
"address_2": "MC 035",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495032560",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "100 Michigan St NE",
"address_2": "MC 035",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495032560",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RENEE",
"last_name": "SOMMERS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.