Individual provider Active NPI

Sheryl Weber, FNP-C

  • Family Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1881213411
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019553 Issued in IL
Practice address
129 E 107TH Ave
Crown Point, IN 46307-6517
Phone
(219) 662-4134
Fax
(219) 440-7350
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 209019553 IL Primary

Addresses

Primary practice location

129 E 107TH Ave
Crown Point, IN 46307-6517

Mailing address

11601 N 200 E
Demotte, IN 46310-9642
Phone (708) 705-1561

Other practice location 1

1600 Torrence Ave
Calumet City, IL 60409-5430
Phone (708) 915-4961

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
I20210120000907 IN Practitioner - Nurse Practitioner 7416378658 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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

Practice addresses (Care Compare)

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

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

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

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

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

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209019553ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Urgent Care, LLC CurrentSince Dec 29, 2020 Accepting new patients
The Methodist Hospitals, Inc PastSince Dec 29, 2020 Accepting new patients

Locations

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

875 Joliet St
Dyer, IN 46311
Phone (219) 233-2344

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

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

Interoperability endpoints

  • Direct secure messaging: swebermsn237088@uchospital.direct-ci.com

Organizations & group practices 4

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1881213411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 N 200 E",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463109642",
            "telephone_number": "708-705-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E 107TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463076517",
            "telephone_number": "219-662-4134",
            "fax_number": "219-440-7350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Torrence Ave",
            "address_purpose": "LOCATION",
            "city": "Calumet City",
            "state": "IL",
            "postal_code": "604095430",
            "country_code": "US",
            "telephone_number": "708-915-4961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "SHERYL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.