Individual provider Active NPI

Tammy Chase, N.P.

  • Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1699146779
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71005859A Issued in IN
Practice address
12800 Mississippi Pkwy Ste B100
Crown Point, IN 46307-6901
Phone
(219) 662-5700
Fax
(219) 662-2569
NPI assigned
Oct 14, 2015
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71005859A IN Primary
Family Nurse Practitioner 363LF0000X 71005859A IN

Addresses

Primary practice location

12800 Mississippi Pkwy Ste B100
Crown Point, IN 46307-6901

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

4111 Franklin St
Michigan City, IN 46360-7803
Phone (219) 873-2919

Other practice location 2

4111 Franklin St
Michigan City, IN 46360-7803
Phone (219) 873-2919

Other identifiers 1

IdentifierTypeStateIssuer
201329270MedicaidIN

Other names 1

  • Tammy McPheeters Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tchase86631@Direct.FranciscanAlliance.org Direct

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
I20151027000861 IN Practitioner - Nurse Practitioner 4688983992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1225 E Coolspring Ave
Michigan City, IN 46360-6312
Phone (219) 879-6531

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71005859AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network Current Accepting new patients
Franciscan Physician Network CurrentSince Nov 30, 2015 Accepting new patients
Franciscan Physician Network CurrentSince Nov 30, 2015 Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

12800 Mississippi Pkwy
Ste B100
Crown Point, IN 46307
Phone (219) 662-5700

1225 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 873-2919

4111 Franklin St
Michigan City, IN 46360
Phone (219) 873-2919

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

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

Hospital & facility affiliations 1

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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1699146779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 MISSISSIPPI PKWY STE B100",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463076901",
            "telephone_number": "219-662-5700",
            "fax_number": "219-662-2569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4111 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463607803",
            "country_code": "US",
            "telephone_number": "219-873-2919",
            "fax_number": "219-873-2909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4111 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463607803",
            "country_code": "US",
            "telephone_number": "219-873-2919",
            "fax_number": "219-873-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "TAMMY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005859A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005859A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201329270",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tchase86631@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12800 Mississippi Pkwy Ste B100",
            "city": "Crown Point",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "MCPHEETERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.