Individual provider Active NPI

Dana Pinkerman, FNP

  • Family Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1871375980
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014427A Issued in IN
Practice address
606 Lincolnway Ste B
Valparaiso, IN 46383-5728
Phone
(219) 247-4003
Fax
(574) 203-9702
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 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 71014427A IN Primary

Addresses

Primary practice location

606 Lincolnway Ste B
Valparaiso, IN 46383-5728

Mailing address

606 Lincolnway Ste B
Valparaiso, IN 46383-5728
Phone (219) 247-4003

Other names 1

  • Dana Grimes Former name

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
I20231117002094 IN Practitioner - Nurse Practitioner 6507214293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71014427AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

Interoperability endpoints

  • Direct secure messaging: dana.pinkerman.2@23284.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1871375980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 LINCOLNWAY STE B",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835728",
            "telephone_number": "219-247-4003",
            "fax_number": "574-203-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 LINCOLNWAY STE B",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835728",
            "telephone_number": "219-247-4003",
            "fax_number": "574-203-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKERMAN",
        "first_name": "DANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014427A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "GRIMES",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.