Active NPI
Connie J Ramirez, NP
- Family Nurse Practitioner
- Schererville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71000714A
- Practice address
- 505 West US Highway 30
Schererville, IN 46375-2650 - Phone
- (219) 322-3311
- Fax
- (219) 322-8210
- NPI assigned
- Nov 20, 2006
- Last updated
- Mar 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71000714 | IN | |
| Family Nurse Practitioner | 363LF0000X | 71000714A | IN | Primary |
Addresses
Primary practice location
505 West US Highway 30
Schererville, IN 46375-2650
Mailing address
505 West US Highway 30
Schererville, IN 46375-2650
Phone (219) 322-3311
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000489424 | Other | IN | ANTHEM BCBS |
| 200296640 | Medicaid | IN | |
| 000000489424 | Other | IN | ANTHEM |
Other names 1
- Connie J Vargas
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8900 Broadway
Merrillville, IN 46410-7040
Phone (219) 525-1150
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000714A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Current | Accepting new patients | |
| Premise Health of Indiana Medical, P.C. | Current | Accepting new patients | |
| Connecticut General Life Insurance Company | Past | Accepting new patients | |
| Kidney Care Center Merrillville LLC | Past | Accepting new patients | |
| St. Mary Medical Center Inc | Past | Accepting new patients | |
| Illiana Surgery & Medical Center, LLC | Past | Accepting new patients | |
| St Mary Medical Center Inc | Past | Accepting new patients |
Locations
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
164 Bracken Pkwy
Hobart, IN 46342
Phone (219) 942-1145
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
9307 Calumet Ave
Ste A2
Munster, IN 46321
Phone (219) 836-2274
9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203
505 W US Highway 30
Schererville, IN 46375
Phone (219) 322-3311
Interoperability endpoints
- https://api.platform.athenahealth.com/13093/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
dba Steel Family Health Care Center
- Family Medicine Physician
- Chesterton, IN
- NPI 1942363841
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
-
- Clinic/Center
- Hammond, IN
- NPI 1255757332
-
dba The Orthopedics Centers, LLC
- Orthopaedic Surgery Physician
- Merrillville, IN
- NPI 1962401927
-
- Nephrology Physician
- Merrillville, IN
- NPI 1417336207
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
dba Michael Kovacich MD
- Family Medicine Physician
- Merrillville, IN
- NPI 1598839730
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Powers Health Rehabilitation Center
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1770657959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 WEST US HIGHWAY 30",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463752650",
"telephone_number": "219-322-3311",
"fax_number": "219-322-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 WEST US HIGHWAY 30",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463752650",
"telephone_number": "219-322-3311",
"fax_number": "219-322-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "CONNIE",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71000714",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71000714A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000489424",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200296640",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000489424",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CONNIE",
"last_name": "VARGAS",
"middle_name": "J",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.
- 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.