Individual provider Active NPI

Christy Marie Kersey, FNP-C

  • Family Nurse Practitioner
  • Merrillville, IN
National Provider Identifier
1710499298
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007598A Issued in IN
Practice address
371 E 84TH Dr # 371
Merrillville, IN 46410
Phone
(219) 736-7165
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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 71007598A IN Primary

Addresses

Primary practice location

371 E 84TH Dr # 371
Merrillville, IN 46410

Mailing address

3397 W Lakeshore Dr
Crown Point, IN 46307-8922
Phone (219) 776-9081

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
I20180206001146 IN Practitioner - Nurse Practitioner 6507126893 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana Medical College, School of Medicine of Purdue University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Pain Control, IncGroup PAC ID 7416019450, 24 clinicians

Practice addresses (Care Compare)

2211 Roosevelt Rd
Valparaiso, IN 46383-2748
Phone (219) 476-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Urgent Care, LLC CurrentSince Aug 15, 2022 Accepting new patients
Centers for Pain Control, Inc CurrentSince Oct 6, 2022 Accepting new patients
Interventional Pain Management LLC CurrentSince Oct 6, 2022 Accepting new patients
Centers for Pain Control, Inc CurrentSince Oct 6, 2022 Accepting new patients
The Methodist Hospitals, Inc PastSince Aug 15, 2022 Accepting new patients
Centers for Pain Control Inc. Past Accepting new patients

Locations

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

201 Main St
Ste A
Hobart, IN 46342
Phone 2194767246321

201 Main St
Hobart, IN 46342
Phone 2194767246 ext. 321

208 Legacy Plz W
Laporte, IN 46350
Phone (219) 326-7246

204 Legacy Plz W
Laporte, IN 46350
Phone (219) 326-7246

8687 Connecticut St
Ste D
Merrillville, IN 46410
Phone (219) 750-9630

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

1928 45th St
Munster, IN 46321
Phone 2194767246 ext. 321

1924 45th St
Munster, IN 46321
Phone 2194767246321

Interoperability endpoints

  • Direct secure messaging: christy.kersey.1@16383.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1710499298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3397 W LAKESHORE DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078922",
            "telephone_number": "219-776-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 E 84TH DR # 371",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-736-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSEY",
        "first_name": "CHRISTY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007598A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.