Joyce Ellen Racz, MSN, FNP-C, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71005543 Issued in IN

Practice address

621 Memorial Dr Ste 402
South Bend, IN 46601-1074

Phone

(574) 647-2500

Fax

(574) 647-7170

NPI assigned

May 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1861879264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N NILES AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171924",
            "telephone_number": "574-647-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MEMORIAL DR STE 402",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011074",
            "telephone_number": "574-647-2500",
            "fax_number": "574-647-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACZ",
        "first_name": "JOYCE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28082633A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201315860",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CENTENNIAL NEIGHBORHOOD HEALTH CENTER",
            "identifier": "000000955116",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Mary Quinn-Tan, PSY.D.
• Cheryl Quiogue-Hunt, LSW
• R.L. Wilson, M.D., PC
• Kelly Gail Racek, PHARMD
• Rachel Mickelson
• Radiation Oncology Associates of Michiana PC
• Ashlee Lauren Radzikowski, LCSW
• Ersalan A Rahman, M.D.
• Saira Malik Rahman, MD
• Christen Brianne Ramaeker, PT

• Nurse Practitioner in South Bend, IN
• Providers in South Bend, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.