Individual provider Active NPI

Josephine Renae Chambers, APRN FNP-BC

  • Family Nurse Practitioner
  • Michigan City, IN
National Provider Identifier
1629614771
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019055369 Issued in IN
Practice address
10176 W 400 N Ste B
Michigan City, IN 46360-9009
Phone
(219) 809-9839
Fax
(219) 809-9841
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019055369 IN Primary
Family Nurse Practitioner 363LF0000X 71009598A IN
Hospitalist Physician 208M00000X 71009598A IN

Addresses

Primary practice location

10176 W 400 N Ste B
Michigan City, IN 46360-9009

Mailing address

10176 W 400 N Ste B
Michigan City, IN 46360-9009
Phone (219) 809-9839

Other practice location 1

3500 Franciscan Way
Michigan City, IN 46360-0021
Phone (219) 852-1524

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
I20191228000388 IN Practitioner - Nurse Practitioner 1850725854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Center for Pain Control LLCGroup PAC ID 4688999550, 5 clinicians

Practice addresses (Care Compare)

10176 W 400
Suite B
Michigan City, IN 46360-9009

10176 W 400 N B
The Vanguard Medical Group
Michigan City, IN 46360-9009
Phone (219) 301-2633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019055369INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Center for Pain Control LLC CurrentSince Nov 14, 2019 Accepting new patients

Locations

10176 W 400 N
Ste B
Michigan City, IN 46360
Phone (219) 301-2633

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1629614771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10176 W 400 N STE B",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609009",
            "telephone_number": "219-809-9839",
            "fax_number": "219-809-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10176 W 400 N STE B",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609009",
            "telephone_number": "219-809-9839",
            "fax_number": "219-809-9841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Franciscan Way",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463600021",
            "country_code": "US",
            "telephone_number": "219-852-1524",
            "fax_number": "219-933-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "JOSEPHINE",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "2019055369",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009598A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "71009598A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.