Active NPI
Candice Michelle Yu-Fleming, MD
- Family Medicine Physician
- Portage, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01058114
- Practice address
- 3630 Willowcreek Rd
Portage, IN 46368-5075 - Phone
- (219) 364-3700
- Fax
- (219) 364-3610
- NPI assigned
- Mar 29, 2006
- Last updated
- Oct 1, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01058114 | IN | Primary |
Addresses
Primary practice location
3630 Willowcreek Rd
Portage, IN 46368-5075
Mailing address
2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 364-3616
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200522990A | Medicaid | IN | |
| 000000521513 | Other | ANTHEM | |
| 5251392 | Other | AETNA | |
| P00207872 | Other | IN | RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | candace.yu-fleming.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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rci (WRS) LLC
Practice addresses (Care Compare)
1300 Lincolnway
Valparaiso, IN 46383-5824
2600 Compass Rd
Glenview, IL 60026-8001
650 Dickinson Rd
Suite a
Chesterton, IN 46304-3387
Phone (219) 926-2133
Hospital & facility affiliations
- Northwest Health - Porter
- St Mary Medical Center Inc
- Franciscan Health Crown Point
- Franciscan Health Michigan City
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.68 of 100
- Quality
- 76.2
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01058114 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter Physician Services LLC | Family Medicine | Current | Accepting new patients |
| Porter Health Services | Family Medicine | Past | Accepting new patients |
| Northwest Indiana Nephrology PC | Past | Accepting new patients | |
| Porter Physician Services LLC | Family Medicine | Past | Accepting new patients |
| Porter Health Services | Past | Accepting new patients |
Locations
2022 Kelle Dr
Chesterton, IN 46304
Phone (219) 364-3616
650 Dickinson Rd
#A
Chesterton, IN 46304
Phone (219) 926-2133
650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133
650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507
3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000
3630 Willowcreek Rd
#1
Portage, IN 46368
Phone (219) 364-3230
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
Interoperability endpoints
- candice.yu-fleming.1@2340.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Valparaiso, IN
- NPI 1508075680
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Nephrology Physician
- Valparaiso, IN
- NPI 1285991885
-
dba Westchester Medical Group
- Family Medicine Physician
- Chesterton, IN
- NPI 1164483590
-
dba Glendale Medical Lab
- Clinical Medical Laboratory
- Valparaiso, IN
- NPI 1477514867
-
- Internal Medicine Physician
- Portage, IN
- NPI 1457566309
Family Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
dba Northwest Health-Porter
- General Acute Care Hospital
- Valparaiso, IN
- NPI 1215151154
-
- 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": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1780645093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 KELLE DR",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463048708",
"telephone_number": "219-364-3616",
"fax_number": "219-364-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 WILLOWCREEK RD",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685075",
"telephone_number": "219-364-3700",
"fax_number": "219-364-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU-FLEMING",
"first_name": "CANDICE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01058114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200522990A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000521513",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5251392",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00207872",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "candace.yu-fleming.1@2340.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "3630 Willowcreek Rd",
"city": "Portage",
"state": "IN",
"country_code": "US",
"postal_code": "463685075",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.