Individual provider Active NPI

Lisa Collette Danko

  • Adult Health Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1689636193
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
7100156A Issued in IN
Practice address
342 E 109TH Ave
Crown Point, IN 46307-8693
Phone
(219) 769-4855
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 7100156A IN Primary

Addresses

Primary practice location

342 E 109TH Ave
Crown Point, IN 46307-8693

Mailing address

342 E 109TH Ave
Crown Point, IN 46307-8693
Phone (219) 769-4855

Other identifiers 1

IdentifierTypeStateIssuer
200490390MedicaidIN

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
I20040917000856 IN Practitioner - Nurse Practitioner 5294703211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Cancer Centers PCGroup PAC ID 4587553474, 26 clinicians

Practice addresses (Care Compare)

342 E 109TH Ave
Northwest Cancer Ctr
Crown Point, IN 46307-8693
Phone (219) 310-2550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7100156AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Cancer Centers, PC CurrentSince Jan 1, 2021 Accepting new patients

Locations

342 E 109th Ave
Crown Point, IN 46307
Phone (219) 310-2550

10191 Broadway
#200
Crown Point, IN 46307
Phone (219) 924-8178

1001 Calumet Ave
Dyer, IN 46311
Phone (219) 924-8178

1600 S Lake Park Ave
Ste 1101
Hobart, IN 46342
Phone (219) 947-1795

1331 State St
Ste 270
La Porte, IN 46350
Phone (219) 236-0943

1331 State St
Ste 240
La Porte, IN 46350
Phone (219) 326-0943

5510 Franklin St
Michigan City, IN 46360
Phone (219) 809-2600

3800 Saint Mary Rd
Ste 302
Valparaiso, IN 46383
Phone (219) 464-1620

Interoperability endpoints

  • Direct secure messaging: lisa.danko@nwoncologypc.ikm.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1689636193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078693",
            "telephone_number": "219-769-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078693",
            "telephone_number": "219-769-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANKO",
        "first_name": "LISA",
        "middle_name": "COLLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "7100156A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200490390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.