Individual provider Active NPI

Savannah Marie Comstock, FNP-C

  • Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1770244469
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71012072A Issued in IN
Practice address
85 E US Highway 6
Valparaiso, IN 46383-8947
Phone
(219) 983-8300
NPI assigned
Jan 4, 2022
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012072A IN
Nurse Practitioner 363L00000X 71012072A IN Primary

Addresses

Primary practice location

85 E US Highway 6
Valparaiso, IN 46383-8947

Mailing address

785 Devonshire Rd
Valparaiso, IN 46385-8629
Phone (219) 333-0004

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address savannah.langbartels.1@2340.direct.athenahealth.com

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
I20220215001433 IN Practitioner - Nurse Practitioner 7416340450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71012072AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mary Tilak PC CurrentSince Feb 1, 2022 Accepting new patients
La Porte Clinic Company LLC CurrentSince Oct 1, 2022 Accepting new patients
Porter Physician Services LLC Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
La Porte Clinic Company LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

6625 W US Highway 30
Crown Point, IN 46307
Phone (219) 440-5360

2241 45th St
Highland, IN 46322
Phone (219) 738-1736

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

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

85 E US Highway 6
Ste 300
Valparaiso, IN 46383
Phone (219) 983-6300

Interoperability endpoints

  • Direct secure messaging: savannah.langbartels.1@2340.direct.athenahealth.com

Organizations & group practices 4

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1770244469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 DEVONSHIRE RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858629",
            "telephone_number": "219-333-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E US HIGHWAY 6",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838947",
            "telephone_number": "219-983-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMSTOCK",
        "first_name": "SAVANNAH",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012072A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012072A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "savannah.langbartels.1@2340.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "85 E US Highway 6 Ste 300",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463838948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.