Active NPI
Kerry Ann Kanaley, FNP-C
- Family Nurse Practitioner
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71008016A
- Practice address
- 8135 Calumet Ave
Munster, IN 46321-1701 - Phone
- (219) 513-2000
- NPI assigned
- May 12, 2018
- Last updated
- Sep 15, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71008016A | IN | Primary |
| Licensed Practical Nurse | 164W00000X | 27065033A | IN |
Addresses
Primary practice location
8135 Calumet Ave
Munster, IN 46321-1701
Mailing address
8135 Calumet Ave
Munster, IN 46321-1701
Phone (219) 513-2000
Other names 1
- Kerry Ann Quinn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- 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
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
129 E 107TH Ave
Crown Point, IN 46307-6517
Phone (219) 662-4134
1500 Indianapolis Blvd
Schererville, IN 46375-1316
Phone (219) 440-7373
1923 W Glen Park Ave
Griffith, IN 46319-3703
Phone (219) 922-2535
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
5521 W Lincoln Hwy
Suite 1a
Crown Point, IN 46307-1098
Phone (219) 769-1362
6097 Broadway
Merrillville, IN 46410-2619
Phone (219) 758-5152
6131 US Hwy 6
Portage, IN 46368-5058
Phone (219) 841-9788
7890 E Ridge Rd
Hobart, IN 46342-2468
Phone (219) 788-1237
8135 Calumet Ave
Munster, IN 46321-1701
Phone (219) 513-2000
875 Joliet St
Dyer, IN 46311-1920
Phone (219) 440-7340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27065033A | IN | MD | Licensed Practical Nurse |
| 71008016A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nwi Urgent Care, LLC | Current | Accepting new patients | |
| Midwest Express Care 2, Inc | Current | Accepting new patients | |
| Midwest Express Care 2, Inc | Current | Accepting new patients |
Locations
12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372
40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Munster, IN
- NPI 1043596703
-
dba Midwest Express Clinics
- Urgent Care Clinic/Center
- Hammond, IN
- NPI 1629502810
-
- Urgent Care Clinic/Center
- Schererville, IN
- NPI 1942642848
-
- Urgent Care Clinic/Center
- Willowbrook, IL
- NPI 1548692890
-
dba Midwest Express Clinic
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1659952554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1659861912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8135 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211701",
"telephone_number": "219-513-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8135 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211701",
"telephone_number": "219-513-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANALEY",
"first_name": "KERRY",
"middle_name": "ANN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-12",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71008016A",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IN",
"license": "27065033A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRY",
"last_name": "QUINN",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.