Individual provider Active NPI

Emily Ratkiewicz

  • Certified Registered Nurse Anesthetist
  • Granger, IN
National Provider Identifier
1740727361
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
109415 Issued in IN
Practice address
5507 Singer CT
Granger, IN 46530-4481
Phone
(708) 218-0446
NPI assigned
Jan 20, 2017
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 109415 IN Primary

Addresses

Primary practice location

5507 Singer CT
Granger, IN 46530-4481

Mailing address

5507 Singer CT
Granger, IN 46530-4481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170210000905 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911280268 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Surgeons LLCGroup PAC ID 0941260061, 22 clinicians
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Southeast Anesthesiologists IncGroup PAC ID 6800837980, 91 clinicians

Practice addresses (Care Compare)

4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1414
Phone (574) 231-6800

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000

8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (317) 528-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
109415INMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Cep America - Anesthesia PC CurrentSince Oct 31, 2025 Accepting new patients
Cardinal Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2017 Accepting new patients
Cep America - Anesthesia PC CurrentSince Oct 31, 2025 Accepting new patients
La Porte County Anesthesia Associates LLC CurrentSince Jan 9, 2017 Accepting new patients
United Surgeons, LLC Current Accepting new patients
Southeast Anesthesiologists, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 22, 2024 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Jun 22, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

51050 Bittersweet Rd
Granger, IN 46530
Phone (718) 208-0446

8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261

301 W Homer St
Michigan City, IN 46360
Phone (219) 877-1033

301 W Homer St
#M
Michigan City, IN 46360
Phone (219) 877-1033

3930 Edison Lakes Pkwy
Ste 100
Mishawaka, IN 46545

4455 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 231-6134

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

Organizations & group practices 10

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 3

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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1740727361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 SINGER CT",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 SINGER CT",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304481",
            "telephone_number": "708-218-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATKIEWICZ",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "109415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.