Active NPI
Nadia Inocencio
- Adult Health Nurse Practitioner
- Munster, IN
National Provider Identifier
1679429823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 71017842A
- Practice address
- 901 Macarthur Blvd
Munster, IN 46321-2901 - Phone
- (219) 836-1600
- NPI assigned
- Mar 9, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 71017842A | IN | Primary |
Addresses
Primary practice location
901 Macarthur Blvd
Munster, IN 46321-2901
Mailing address
7527 E 115TH Ave
Winfield, IN 46307-7376
Phone (312) 721-0069
Other practice location 1
1100 Joliet St Ste 201
Dyer, IN 46311-1995
Phone (219) 836-2096
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1100 Joliet St
Suite 201
Dyer, IN 46311-1995
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71017842A | IN | MD | Adult Health Nurse Practitioner |
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.
-
- Neurology Physician
- Dyer, IN
- NPI 1124453279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1679429823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7527 E 115TH AVE",
"city": "WINFIELD",
"state": "IN",
"postal_code": "463077376",
"telephone_number": "312-721-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MACARTHUR BLVD",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212901",
"telephone_number": "219-836-1600"
}
],
"practiceLocations": [
{
"address_1": "1100 Joliet St Ste 201",
"address_purpose": "LOCATION",
"city": "Dyer",
"state": "IN",
"postal_code": "463111995",
"country_code": "US",
"telephone_number": "219-836-2096",
"fax_number": "219-836-2097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INOCENCIO",
"first_name": "NADIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-09",
"last_updated": "2026-03-09",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "71017842A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 9, 2026; 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.