Individual provider Active NPI

Nicole Ann Laas, FNP-BC

  • Family Nurse Practitioner
  • Griffith, IN
National Provider Identifier
1801594882
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013557A Issued in IN
Practice address
1923 W Glen Park Ave
Griffith, IN 46319-3703
Phone
(219) 922-2535
Fax
(219) 922-5478
NPI assigned
Feb 20, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71013557A IN Primary

Addresses

Primary practice location

1923 W Glen Park Ave
Griffith, IN 46319-3703

Mailing address

965 Doe Path LN
Crown Point, IN 46307-5051
Phone (219) 794-5180

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
I20230426000717 IN Practitioner - Nurse Practitioner 1456716422 Reassigns benefits to 3 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
Midwest Express Care 4 LLCGroup PAC ID 4284909615, 64 clinicians
Midwest Express Care, IncGroup PAC ID 5193957595, 31 clinicians
Nwi Urgent Care, LLCGroup PAC ID 7618142977, 45 clinicians

Practice addresses (Care Compare)

1009 5TH Ave
Hammond, IN 46320-1004
Phone (219) 473-0722

129 E 107TH Ave
Crown Point, IN 46307-6517
Phone (219) 662-4134

1500 Indianapolis Blvd
Schererville, IN 46375-1316
Phone (219) 440-7373

1923 W Glen Park Ave
Griffith, IN 46319-3703
Phone (219) 922-2535

31 E Sibley St
Suite a
Hammond, IN 46320-1725
Phone (219) 802-8800

3939 Franklin St
Michigan City, IN 46360-7397
Phone (219) 878-5850

5043 E 81St Ave
Merrillville, IN 46410-5912
Phone (219) 554-3290

5521 W Lincoln Hwy
Suite 1a
Crown Point, IN 46307-1098
Phone (219) 769-1362

5995 US Hwy 6
Portage, IN 46368-4945
Phone (219) 963-8234

6097 Broadway
Merrillville, IN 46410-2619
Phone (219) 758-5152

6131 US Hwy 6
Portage, IN 46368-5058
Phone (219) 841-9788

7890 E Ridge Rd
Hobart, IN 46342-2468
Phone (219) 788-1237

8135 Calumet Ave
Munster, IN 46321-1701
Phone (219) 513-2000

875 Joliet St
Dyer, IN 46311-1920
Phone (219) 440-7340

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Urgent Care, LLC CurrentSince Mar 4, 2023 Accepting new patients

Locations

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

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, 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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1801594882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 DOE PATH LN",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075051",
            "telephone_number": "219-794-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 W GLEN PARK AVE",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463193703",
            "telephone_number": "219-922-2535",
            "fax_number": "219-922-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAAS",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013557A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffith, IN

Sources for this page

Verify at the official NPI Registry.