Individual provider Active NPI

Jessica Rayner, NP

  • Family Nurse Practitioner
  • East Chicago, IN
National Provider Identifier
1679000525
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007243A Issued in IN
Practice address
4320 Fir St
Suite 320
East Chicago, IN 46312-3076
Phone
(219) 392-7992
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 71007243A IN Primary

Addresses

Primary practice location

4320 Fir St
Suite 320
East Chicago, IN 46312-3076

Mailing address

4320 Fir Street
Suite 320
East Chicago, IN 46312
Phone (219) 392-7992

Other practice location 1

7217 Indianapolis Blvd
Hammond, IN 46324-2213
Phone (219) 392-7992

Other practice location 2

9660 Wicker Ave
Saint John, IN 46373-9487
Phone (219) 392-7992

Other practice location 3

9034 Columbia Ave
Munster, IN 46321-2905
Phone (219) 836-4473

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
I20170821001631 IN Practitioner - Nurse Practitioner 0941572382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Consultants PCGroup PAC ID 0143218677, 10 clinicians

Practice addresses (Care Compare)

7217 Indianapolis Blvd
Hammond, IN 46324-2213
Phone (219) 934-4200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Consultants PC CurrentSince Sep 1, 2021 Accepting new patients

Locations

9150 E 109th Ave
Ste 2D
Crown Point, IN 46307
Phone (219) 779-9721

2010 E Columbus Dr
Ste 10
East Chicago, IN 46312

7217 Indianapolis Blvd
Hammond, IN 46324
Phone (219) 554-4080

3641 Ridge Rd
Ste 3
Highland, IN 46322

10010 Donald S Powers Dr
Munster, IN 46321
Phone (219) 934-4209

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBEIBA

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679000525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 FIR STREET",
            "address_2": "SUITE 320",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "46312",
            "telephone_number": "219-392-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 FIR ST",
            "address_2": "SUITE 320",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123076",
            "telephone_number": "219-392-7992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7217 Indianapolis Blvd",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463242213",
            "country_code": "US",
            "telephone_number": "219-392-7992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9660 Wicker Ave",
            "address_purpose": "LOCATION",
            "city": "Saint John",
            "state": "IN",
            "postal_code": "463739487",
            "country_code": "US",
            "telephone_number": "219-392-7992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9034 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212905",
            "country_code": "US",
            "telephone_number": "219-836-4473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYNER",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007243A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

Verify at the official NPI Registry.