Active NPI
Linda S Holcomb, MSN, FNP-C
- Family Nurse Practitioner
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002673A
- Practice address
- 615 Fulmer Rd
Mishawaka, IN 46544-6911 - Phone
- (574) 252-3085
- Fax
- (574) 255-4342
- NPI assigned
- Jun 17, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71002673A | IN | Primary |
Addresses
Primary practice location
615 Fulmer Rd
Mishawaka, IN 46544-6911
Mailing address
615 Fulmer Rd
Mishawaka, IN 46544-6911
Phone (574) 252-3085
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236030 | Other | MEDICARE LEGACY | |
| 200332960 | Medicaid | IN |
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
303 S Main St
200 Michiana Medical and Specialty Clinic
Mishawaka, IN 46544-2160
Phone (574) 400-0188
9301 Connecticut Dr
Merrillville, IN 46410-7173
Hospital & facility affiliations
- Saint Joseph Regional Medical Center
- Memorial Hospital of South Bend
- Unity Physicians Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14141 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Healthcare, LLC | Current | Accepting new patients | |
| Pinnacle Healthcare LLC | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Family | Past | Accepting new patients |
Locations
9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100
8550 Broadway
Merrillville, IN 46410
Phone (219) 736-8888
303 S Main St
Ste 111
Mishawaka, IN 46544
Phone (219) 255-9553
303 S Main St
Ste 200
Mishawaka, IN 46544
Phone (574) 256-9790
303 S Main St
Mishawaka, IN 46544
Phone (347) 541-4133
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Merrillville, IN
- NPI 1922546530
-
- Family Medicine Physician
- Crown Point, IN
- NPI 1184916447
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1518197011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1679733208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 FULMER RD",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465446911",
"telephone_number": "574-252-3085",
"fax_number": "574-255-4342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 FULMER RD",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465446911",
"telephone_number": "574-252-3085",
"fax_number": "574-255-4342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "LINDA",
"middle_name": "S",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71002673A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LEGACY",
"identifier": "236030",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200332960",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.