Individual provider Active NPI

Monica Almy-Boylan, MSN, FNP-BC

  • Nurse Practitioner
  • Michigan City, IN
National Provider Identifier
1710548706
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71009799A Issued in IN
Practice address
601 W Kieffer Rd
Michigan City, IN 46360-9599
Phone
(219) 878-3217
Fax
(219) 814-4788
NPI assigned
Jun 21, 2019
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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 71009799A IN Primary
Family Nurse Practitioner 363LF0000X 041.403144 IL

Addresses

Primary practice location

601 W Kieffer Rd
Michigan City, IN 46360-9599

Mailing address

2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 364-4004

Other practice location 1

5700 S Maryland Ave
Chicago, IL 60637-1426
Phone (773) 926-1220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Monica.Almy-Boylan@laportehosp.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71009799AINMDNurse Practitioner
041.403144ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Apr 14, 2022 Accepting new patients
The University of Chicago Medical Center CurrentSince Apr 14, 2022 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

Interoperability endpoints

  • Direct secure messaging: malmyboylanrn57339@uchospital.direct-ci.com
  • Direct secure messaging: monica.almy-boylan@laportehosp.cernerdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1710548706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 KELLE DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048708",
            "telephone_number": "219-364-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W KIEFFER RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609599",
            "telephone_number": "219-878-3217",
            "fax_number": "219-814-4788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371426",
            "country_code": "US",
            "telephone_number": "773-926-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALMY-BOYLAN",
        "first_name": "MONICA",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009799A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041.403144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Monica.Almy-Boylan@laportehosp.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "601 W Kieffer Rd",
            "city": "Michigan City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463609599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.