Individual provider Active NPI

Mary Elizabeth Paris

  • Nurse Practitioner
  • Lowell, IN
National Provider Identifier
1790564409
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71014383A Issued in IN
Practice address
957 E Commercial Ave
Lowell, IN 46356-2307
Phone
(219) 690-3779
Fax
(219) 690-3494
NPI assigned
Sep 22, 2023
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71014383A IN Primary

Addresses

Primary practice location

957 E Commercial Ave
Lowell, IN 46356-2307

Mailing address

1405 Crooked Creek TRL
Crown Point, IN 46307-5338
Phone (219) 312-1884

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
I20250522001152 IN Practitioner - Nurse Practitioner 6901325976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Healthcare LLCGroup PAC ID 1254331184, 9 clinicians

Practice addresses (Care Compare)

9301 Connecticut Dr
Crown Point, IN 46307-7486
Phone (219) 796-4060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71014383AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthcare LLC CurrentSince Mar 13, 2025 Accepting new patients
Pinnacle Healthcare, LLC CurrentSince Mar 13, 2025 Accepting new patients

Locations

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

957 E Commercial Ave
Lowell, IN 46356
Phone (219) 690-3779

8550 Broadway
Merrillville, IN 46410
Phone (219) 736-8888

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1790564409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CROOKED CREEK TRL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075338",
            "telephone_number": "219-312-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 E COMMERCIAL AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463562307",
            "telephone_number": "219-690-3779",
            "fax_number": "219-690-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIS",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71014383A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, IN

Sources for this page

Verify at the official NPI Registry.