Individual provider Active NPI

Angela M Tursman, NP

  • Women's Health Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1730262809
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
28149786A Issued in IN
Practice address
880 Eastport Centre Dr
Suite 200
Valparaiso, IN 46383-2906
Phone
(219) 464-0409
NPI assigned
Oct 23, 2006
Last updated
Mar 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 28149786A IN Primary

Addresses

Primary practice location

880 Eastport Centre Dr
Suite 200
Valparaiso, IN 46383-2906

Mailing address

4204 Oak Grove Dr
Valparaiso, IN 46383-2065
Phone (219) 477-2619

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
I20130820000030 IN Practitioner - Nurse Practitioner 5193967206 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince Aug 9, 2014 Accepting new patients
Prima Bella Women's Health, PC PastSince May 1, 2013 Accepting new patients
Physicians for Women PC Past Accepting new patients

Locations

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

1451 Morthland Dr
Ste D
Valparaiso, IN 46385
Phone (219) 286-3880

Organizations & group practices 3

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1730262809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 OAK GROVE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832065",
            "telephone_number": "219-477-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 EASTPORT CENTRE DR",
            "address_2": "SUITE 200",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832906",
            "telephone_number": "219-464-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURSMAN",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "28149786A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.