Individual provider Active NPI

Mary Kay Earlie, FNP

  • Nurse Practitioner
  • Whiting, IN
National Provider Identifier
1699346650
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71011119A Issued in IN
Practice address
1000 114TH St
Whiting, IN 46394-1048
Phone
(219) 659-2770
NPI assigned
Jul 9, 2021
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71011119A IN Primary

Addresses

Primary practice location

1000 114TH St
Whiting, IN 46394-1048

Mailing address

1000 114TH St
Whiting, IN 46394-1048
Phone (219) 659-2770

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
I20211209000974 IN Practitioner - Nurse Practitioner 7618367459 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians
Alliance Physician Partners Hospitalist Group LLCGroup PAC ID 3274968243, 4 clinicians

Practice addresses (Care Compare)

5025 McCook Ave
East Chicago, IN 46312-3759
Phone (219) 397-0380

901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 682-2370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
15.28 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
50.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011119AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC Nurse Practitioner CurrentSince Sep 10, 2021 Accepting new patients
Integrated Rehab Consultants Florida, PLLC CurrentSince Apr 17, 2024 Accepting new patients
Alliance Physician Partners Hospitalist Group LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

1000 SW 16th Ave
Gainesville, FL 32601
Phone (352) 376-2461

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

353 Tyler St
Gary, IN 46402
Phone (219) 886-7070

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

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

Hospital & facility affiliations 2

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1699346650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 114TH ST",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941048",
            "telephone_number": "219-659-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 114TH ST",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941048",
            "telephone_number": "219-659-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLIE",
        "first_name": "MARY",
        "middle_name": "KAY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71011119A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, IN

Sources for this page

Verify at the official NPI Registry.