Individual provider Active NPI

Joos Moerland

  • Family Nurse Practitioner
  • Knox, IN
National Provider Identifier
1710638432
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012114A Issued in IN
Practice address
104 E Culver Rd Ste 102
Knox, IN 46534-2241
Phone
(574) 772-7918
NPI assigned
Jan 13, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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 71012114A IN Primary

Addresses

Primary practice location

104 E Culver Rd Ste 102
Knox, IN 46534-2241

Mailing address

6141 S 50 E
North Judson, IN 46366-8432
Phone (574) 249-2476

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joos.moerland@laportehosp.cernerdirect.com Health Information Exchange (HIE)

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
I20220321000089 IN Practitioner - Nurse Practitioner 1355736844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Porte Clinic Company LLCGroup PAC ID 0446558357, 66 clinicians

Practice addresses (Care Compare)

104 E Culver Rd
Knox, IN 46534-2241

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71012114AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte Clinic Company LLC CurrentSince Mar 1, 2022 Accepting new patients
La Porte Clinic Company LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

104 E Culver Rd
Knox, IN 46534
Phone (574) 772-7400

104 E Culver Rd
Ste 102
Knox, IN 46534
Phone (574) 772-1580

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

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.

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": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1710638432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 S 50 E",
            "city": "NORTH JUDSON",
            "state": "IN",
            "postal_code": "463668432",
            "telephone_number": "574-249-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E CULVER RD STE 102",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465342241",
            "telephone_number": "574-772-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOERLAND",
        "first_name": "JOOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012114A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joos.moerland@laportehosp.cernerdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "104 E Culver Rd Ste 102",
            "city": "Knox",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465342241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knox, IN

Sources for this page

Verify at the official NPI Registry.