Individual provider Active NPI

Keri Leeann Whitcomb, APN

  • Family Nurse Practitioner
  • Griffith, IN
National Provider Identifier
1649777640
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28159155A Issued in IN
Practice address
1923 W Glen Park Ave
Griffith, IN 46319-3703
Phone
(219) 922-2535
NPI assigned
Apr 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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 28159155A IN Primary

Addresses

Primary practice location

1923 W Glen Park Ave
Griffith, IN 46319-3703

Mailing address

329 Richmond Rd
Valparaiso, IN 46383-9553
Phone (219) 405-1839

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
I20180618003375 IN Practitioner - Nurse Practitioner 7911252846 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 4 LLCGroup PAC ID 4284909615, 64 clinicians

Practice addresses (Care Compare)

129 E 107TH Ave
Crown Point, IN 46307-6517
Phone (219) 662-4134

31 E Sibley St
Suite a
Hammond, IN 46320-1725
Phone (219) 802-8800

3939 Franklin St
Michigan City, IN 46360-7397
Phone (219) 878-5850

6131 US Hwy 6
Portage, IN 46368-5058
Phone (219) 841-9788

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28159155AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince May 31, 2018 Accepting new patients
The Methodist Hospitals, Inc CurrentSince May 31, 2018 Accepting new patients
Nwi Urgent Care, LLC CurrentSince Jan 22, 2022 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

5521 W US Highway 30
Ste 1A
Crown Point, IN 46307
Phone (219) 769-1362

4844 Broadway
Gary, IN 46408
Phone (219) 884-2400

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

311 E 89th Ave
Merrillville, IN 46410
Phone (219) 769-6639

5043 E Lincoln Hwy
Merrillville, IN 46410
Phone (219) 554-3290

200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1649777640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 RICHMOND RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463839553",
            "telephone_number": "219-405-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 W GLEN PARK AVE",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463193703",
            "telephone_number": "219-922-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "KERI",
        "middle_name": "LEEANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-07",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28159155A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffith, IN

Sources for this page

Verify at the official NPI Registry.