Individual provider Active NPI

Andrea Zepeda, MSN FNP-BC

  • Nurse Practitioner
  • Highland, IN
National Provider Identifier
1881388205
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28247019A Issued in IN
Practice address
8145 Kennedy Ave
Highland, IN 46322-1128
Phone
(219) 803-6651
NPI assigned
Jun 7, 2023
Last updated
Dec 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28247019A IN Primary

Addresses

Primary practice location

8145 Kennedy Ave
Highland, IN 46322-1128

Mailing address

8145 Kennedy Ave
Highland, IN 46322-1128
Phone (219) 803-6651

Other practice location 1

413 W McKinley Ave
Mishawaka, IN 46545-5599
Phone (574) 282-3230

Other practice location 2

2307 E Center St
Warsaw, IN 46580-3906
Phone (574) 282-3230

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
I20230913003523 IN Practitioner - Nurse Practitioner 0244694925 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
NG Medical Center LLCGroup PAC ID 8921420878, 3 clinicians
Modern Vascular and Vein Center LLCGroup PAC ID 9335410703, 2 clinicians

Practice addresses (Care Compare)

8127 Merrillville Rd
Suite 1
Merrillville, IN 46410-6306
Phone (219) 548-2999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
28247019AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Body and Medicine, PC CurrentSince Sep 1, 2023 Accepting new patients
Modern Vascular and Vein Center LLC CurrentSince Oct 1, 2025 Accepting new patients
Kennedy Avenue Chiropractic CurrentSince Sep 1, 2023 Accepting new patients
NG Medical Center LLC CurrentSince Oct 1, 2025 Accepting new patients
Northern Indiana Maternal and Child Health Network, Inc PastSince Jun 1, 2023 Accepting new patients

Locations

8145 Kennedy Ave
Highland, IN 46322
Phone (219) 803-6630

8127 Merrillville Rd
Ste 1
Merrillville, IN 46410
Phone (219) 548-2999

8127 Merrillville Rd
Ste 1B
Merrillville, IN 46410
Phone (219) 548-2999

9337 Calumet Ave
Munster, IN 46321
Phone (219) 836-2330

9337 Calumet Ave
Ste D
Munster, IN 46321
Phone (219) 208-6218

Organizations & group practices 5

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1881388205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8145 KENNEDY AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221128",
            "telephone_number": "219-803-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8145 KENNEDY AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221128",
            "telephone_number": "219-803-6651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 W McKinley Ave",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465455599",
            "country_code": "US",
            "telephone_number": "574-282-3230",
            "fax_number": "574-282-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2307 E Center St",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465803906",
            "country_code": "US",
            "telephone_number": "574-282-3230",
            "fax_number": "574-282-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEPEDA",
        "first_name": "ANDREA",
        "credential": "MSN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28247019A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.