Active NPI
Lisa Bredeweg, NP
- Family Nurse Practitioner
- Linton, IN
National Provider Identifier
1700260668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71005701A
- Practice address
- 1210 N 1000 W
Linton, IN 47441-5013 - Phone
- (812) 847-4481
- Fax
- (844) 658-7526
- NPI assigned
- Jul 10, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71005701A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71005701A | IN | Primary |
Addresses
Primary practice location
1210 N 1000 W
Linton, IN 47441-5013
Mailing address
1185 N 1000 W
Linton, IN 47441-5282
Phone (812) 847-2281
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150909000399 | IN | Practitioner - Nurse Practitioner | 7214243187 | 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
- Greene County Health Inc
Practice addresses (Care Compare)
326 E Main St
Jasonville, IN 47438-1323
Phone (812) 665-9000
Hospital & facility affiliations
- Amedisys Home Health
- Greene County General Hospital
- Sullivan County Community Hospital
- Union Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005701A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greene County General Hospital | Family | Current | Accepting new patients |
| Greene County General Hospital | Family | Current | Accepting new patients |
| Greene County General Hospital | Family | Past | Accepting new patients |
| Greene County General Hospital | Family | Past | Accepting new patients |
Locations
55 N Judge St
Ste A
Bloomfield, IN 47424
Phone (812) 847-4481
1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281
1210 N 1000 W
Linton, IN 47441
Phone (812) 847-4481
1043 N 1000 W
Linton, IN 47441
Phone (812) 847-3381
1985 E Freedom Dr
Newberry, IN 47449
Phone (812) 847-4481
102 E Main St
Worthington, IN 47471
Phone (812) 847-4481
Interoperability endpoints
- lisa.bredeweg.1@17971.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Jasonville, IN
- NPI 1386042653
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Terre Haute, IN
- NPI 1003937269
-
- Critical Access Hospital Clinic/Center
- Sullivan, IN
- NPI 1487450698
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1700260668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1185 N 1000 W",
"city": "LINTON",
"state": "IN",
"postal_code": "474415282",
"telephone_number": "812-847-2281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 N 1000 W",
"city": "LINTON",
"state": "IN",
"postal_code": "474415013",
"telephone_number": "812-847-4481",
"fax_number": "844-658-7526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREDEWEG",
"first_name": "LISA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-10",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71005701A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71005701A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Linton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.