Individual provider Active NPI

Jennifer Sellers, APRN

  • Family Nurse Practitioner
  • Merrillville, IN
National Provider Identifier
1649905258
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28171438A Issued in IN
Practice address
5043 E 81St Ave
Merrillville, IN 46410-5912
Phone
(219) 707-5276
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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 28171438A IN Primary

Addresses

Primary practice location

5043 E 81St Ave
Merrillville, IN 46410-5912

Mailing address

1735 Elderberry Cir
Demotte, IN 46310-8260
Phone (219) 406-3909

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
I20220829002063 IN Practitioner - Nurse Practitioner 3274917018 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
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

5043 E 81St Ave
Merrillville, IN 46410-5912
Phone (219) 554-3290

5521 W Lincoln Hwy
Suite 1a
Crown Point, IN 46307-1098
Phone (219) 769-1362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28171438AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Urgent Care, LLC CurrentSince Aug 15, 2022 Accepting new patients
The Methodist Hospitals, Inc PastSince Aug 15, 2022 Accepting new patients

Locations

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

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

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

Organizations & group practices 4

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1649905258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 ELDERBERRY CIR",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463108260",
            "telephone_number": "219-406-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5043 E 81ST AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105912",
            "telephone_number": "219-707-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28171438A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.