Individual provider Active NPI

Christina M Korem, FNP-C

  • Family Nurse Practitioner
  • Hobart, IN
National Provider Identifier
1689145567
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
710180871A Issued in IN
Practice address
1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone
(219) 947-6448
Fax
(219) 947-6839
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 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 710180871A IN Primary

Addresses

Primary practice location

1500 S Lake Park Ave
Hobart, IN 46342-6638

Mailing address

418 Siebert Dr
Schererville, IN 46375-2294
Phone (219) 406-6031

Other practice location 1

3170 Willowcreek Rd
Portage, IN 46368-4424
Phone (219) 947-6385

Other identifiers 1

IdentifierTypeStateIssuer
300024353MedicaidIN

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
I20190403001017 IN Practitioner - Nurse Practitioner 1658612502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

3170 Willowcreek Rd
Portage, IN 46368-4424
Phone (219) 764-7236

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
710180871AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Medical Center Inc CurrentSince Feb 28, 2019 Accepting new patients
Community Care Network Inc CurrentSince Jul 1, 2022 Accepting new patients
Uro Surgery Associates LLC Past Accepting new patients
St Mary Medical Center Inc Past Accepting new patients

Locations

1500 S Lake Park Ave
Ste 204
Hobart, IN 46342
Phone (219) 947-6695

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

320 W 61st Ave
Hobart, IN 46342
Phone (219) 947-6448

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

3170 Willowcreek Rd
Portage, IN 46368
Phone (219) 764-7236

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.

Hospital & facility affiliations 5

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1689145567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 SIEBERT DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752294",
            "telephone_number": "219-406-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426638",
            "telephone_number": "219-947-6448",
            "fax_number": "219-947-6839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3170 Willowcreek Rd",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463684424",
            "country_code": "US",
            "telephone_number": "219-947-6385",
            "fax_number": "219-703-6787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOREM",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "710180871A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300024353",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.