Active NPI
Mignonette Darlene
- Nurse Practitioner
- Crown Point, IN
National Provider Identifier
1740729292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71006769A
- Practice address
- 2100 N Main St # 304
Crown Point, IN 46307-1877 - Phone
- (574) 546-1900
- Fax
- (574) 546-1999
- NPI assigned
- Feb 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71006769A | IN | Primary |
Addresses
Primary practice location
2100 N Main St # 304
Crown Point, IN 46307-1877
Mailing address
PO Box 10299
Fort Wayne, IN 46851-0299
Phone (574) 546-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71006769A | Other | IN | APRN LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71006769A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mignonette Darlene Certified LLC | Nurse Practitioner | Current | Accepting new patients |
| Mignonette Darlene | Nurse Practitioner | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1255000428
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
IN
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1669911103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1740729292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10299",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468510299",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N MAIN ST # 304",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463071877",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARLENE",
"first_name": "MIGNONETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-16",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71006769A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE",
"identifier": "71006769A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.