Nikkole Renee Chambers, FPN
Individual provider Active NPI Family Nurse Practitioner · Knox, IN
NPI 1831522085 · NPPES record last updated Dec 19, 2017
Key facts
- NPI
- 1831522085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 28156859A (IN)
- Practice address
- 104 E Culver Rd
Knox, IN 46534-2241 - Phone
- (574) 772-7400
- Fax
- (574) 772-0299
- NPI assigned
- Aug 12, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthlinc Inc
Practice addresses (Care Compare)
104 E Culver Rd
Healthlinc Knox
Knox, IN 46534-2204
Phone (574) 772-7400
Hospital & facility affiliations
- Northwest Health - Starke
- Northwest Health-la Porte
- Saint Joseph Regional Medical Center - Plymouth
- Pulaski Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140312001989 | IN | Practitioner - Nurse Practitioner | 4981834900 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28156859A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthlinc, Inc | Current |
Accepting new patients | |
| Healthlinc, Inc. | Current | Accepting new patients | |
| Healthlinc, Inc | Current |
Accepting new patients |
Locations
1313 W Chicago Ave
East Chicago, IN 46312
Phone (219) 397-1196
2323 Broadway St
East Chicago, IN 46312
104 E Culver Rd
Ste 106
Knox, IN 46534
Phone (574) 772-7400
104 E Culver Rd
Knox, IN 46534
Phone (574) 772-7400
400 Teegarden St
Laporte, IN 46350
Phone (219) 326-0043
710 Franklin St
Ste 200
Michigan City, IN 46360
Phone (219) 872-6200
420 W 4th St
Mishawaka, IN 46544
Phone (574) 252-0300
621 Memorial Dr
Ste 402
South Bend, IN 46601
Phone (574) 232-4800
1960 Northside Blvd
South Bend, IN 46615
Phone (574) 231-7228
1708 High St
South Bend, IN 46613
Phone (574) 237-6640
701 Wall St
Valparaiso, IN 46383
Phone (219) 299-8419
1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173
2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100
Interoperability endpoints
- nikkole.chambers@healthlinc.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28156859A | IN | Yes |
Addresses
Primary practice location
104 E Culver Rd
Knox, IN 46534-2241
Mailing address
104 E Culver Rd
Knox, IN 46534-2241
Phone (574) 772-7400
Other providers in Knox, IN
- Brooke V Butler
- Cancer Health Treatment Centers,P.C.
- Cardiovascular Clinics PC
- Dee Christine Carmichael
- Oren G. Carterman
- Emily Chatham
- Kelly O'Brian Clark
- Cni Starke LLC
- Cni Starke, LLC
- Daniel Cole
All providers in Knox, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.