Individual provider Active NPI

Rhondalynn J Sears, NP

  • Pediatric Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1760401368
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71000484A Issued in IN
Practice address
1101 Glendale Blvd
Suite 101
Valparaiso, IN 46383-3767
Phone
(219) 462-0555
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28110137A IN
Pediatric Nurse Practitioner 363LP0200X 71000484A IN Primary

Addresses

Primary practice location

1101 Glendale Blvd
Suite 101
Valparaiso, IN 46383-3767

Mailing address

1101 Glendale Blvd
Suite 101
Valparaiso, IN 46383-3767
Phone (219) 462-0555

Other identifiers 3

IdentifierTypeStateIssuer
200190160MedicaidIN
000000320720OtherINANTHEM
000000721670OtherINANTHEM TRADITIONAL

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
I20120216000187 IN Practitioner - Nurse Practitioner 5597923839 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 4 LLCGroup PAC ID 4284909615, 64 clinicians

Practice addresses (Care Compare)

31 E Sibley St
Suite a
Hammond, IN 46320-1725
Phone (219) 802-8800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28110137AINMDRegistered Nurse
71000484AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 4 LLC CurrentSince Aug 26, 2024 Accepting new patients
Midwest Express Care, Inc CurrentSince Aug 26, 2024 Accepting new patients
Midwest Express Care 4 LLC CurrentSince Aug 26, 2024 Accepting new patients
Nwi Urgent Care, LLC CurrentSince Aug 26, 2024 Accepting new patients
The Methodist Hospitals, Inc PastSince Aug 26, 2024 Accepting new patients

Locations

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

1500 US Highway 41
Schererville, IN 46375
Phone (219) 440-7373

Interoperability endpoints

  • Direct secure messaging: rhonda.sears.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1760401368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE BLVD",
            "address_2": "SUITE 101",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833767",
            "telephone_number": "219-462-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE BLVD",
            "address_2": "SUITE 101",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833767",
            "telephone_number": "219-462-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "RHONDALYNN",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28110137A",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71000484A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200190160",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000320720",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM TRADITIONAL",
            "identifier": "000000721670",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.