Stuart Allan
Individual provider Active NPI Family Nurse Practitioner · Munster, IN
NPI 1649725151 · NPPES record last updated Sep 2, 2016
Key facts
- NPI
- 1649725151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71006523A (IN)
- Practice address
- 801 Macarthur Blvd Ste 404
Munster, IN 46321-2919 - Phone
- (219) 836-2995
- NPI assigned
- Aug 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Rush Medical College of Rush University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care Network Inc
Practice addresses (Care Compare)
800 Macarthur Blvd
Munster, IN 46321-2917
901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-4563
9130 Columbia Ave
Munster, IN 46321-2932
Hospital & facility affiliations
- Community Hospital
- St Catherine Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170111000203 | IN | Practitioner - Nurse Practitioner | 1052692753 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Current |
Accepting new patients | |
| Dylan Slotar MD PC | Past | Accepting new patients |
Locations
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
801 MacArthur Blvd
Ste 404
Munster, IN 46321
Phone (219) 836-2995
800 MacArthur Blvd
Ste 28
Munster, IN 46321
Phone (219) 440-5290
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
Interoperability endpoints
- sallan68756@ssdirect.comhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28182561A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71006523A | IN | Yes |
Addresses
Primary practice location
801 Macarthur Blvd Ste 404
Munster, IN 46321-2919
Mailing address
4501 Blair LN
Valparaiso, IN 46383-9164
Phone (219) 286-3494
Other names
- Dr. Stuart A Allan
Other providers in Munster, IN
- Syed Kashif Ali
- Zeba Ali
- All America Homehealthcare, Inc.
- All Smiles Munster
- All Vital Home Healthcare, Inc.
- Amy Michelle Allen
- Ericka Rae Allen
- Kimberly Allen
- Allergy and Audiology Services of Northwest Indiana LLC
- Alliance Adult Day Services Munster
All providers in Munster, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.