Individual provider Active NPI

Allison Elizabeth Doyle, APNP

  • Nurse Practitioner
  • South Bend, IN
National Provider Identifier
1790460988
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71014090A Issued in IN
Practice address
53760 Generations Dr
South Bend, IN 46635-1539
Phone
(888) 938-3838
NPI assigned
Jun 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F03230362 IN
Nurse Practitioner 363L00000X 71014090A IN Primary
Registered Nurse 163W00000X 28184965A IN

Addresses

Primary practice location

53760 Generations Dr
South Bend, IN 46635-1539

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838

Other practice location 1

2012 S Main St Ste B
Goshen, IN 46526-5200
Phone (888) 938-3838

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
I20230801004478 IN Practitioner - Nurse Practitioner 6800257296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Sleep and Nasal Sinus Disorders, LLCGroup PAC ID 7911236039, 9 clinicians

Practice addresses (Care Compare)

53760 Generations Dr
South Bend, IN 46635-1539
Phone (574) 500-2010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28184965AINMDRegistered Nurse
71014090AINMDNurse Practitioner
F03230362INMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Sleep and Nasal Sinus Disorders, LLC CurrentSince Sep 5, 2023 Accepting new patients
Center for Sleep and Nasal Sinus Disorders, LLC Past Accepting new patients

Locations

7388 Business Center Dr
Avon, IN 46123
Phone (317) 272-0480

2606 Peddlers Village Rd
Ste 215
Goshen, IN 46526
Phone (574) 534-1135

2012 S Main St
Ste B
Goshen, IN 46526
Phone (574) 500-2010

6920 S East St
Ste B
Indianapolis, IN 46227
Phone (317) 497-6880

9500 Priority Way West Dr
#100
Indianapolis, IN 46240

53760 Generations Dr
South Bend, IN 46635
Phone (219) 247-4444

10001 W Innovation Dr
Ste 200
Wauwatosa, WI 53226

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19820/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1790460988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53760 GENERATIONS DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351539",
            "telephone_number": "888-938-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 S Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465265200",
            "country_code": "US",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "ALLISON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "F03230362",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71014090A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28184965A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.