Active NPI
Andrea Zepeda, MSN FNP-BC
- Nurse Practitioner
- Highland, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 28247019A
- Practice address
- 8145 Kennedy Ave
Highland, IN 46322-1128 - Phone
- (219) 803-6651
- NPI assigned
- Jun 7, 2023
- Last updated
- Dec 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28247019A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Body and Medicine, PC | Current | Accepting new patients | |
| Modern Vascular and Vein Center LLC | Current | Accepting new patients | |
| Kennedy Avenue Chiropractic | Current | Accepting new patients | |
| NG Medical Center LLC | Current | Accepting new patients | |
| Northern Indiana Maternal and Child Health Network, Inc | Past | 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.
-
- Vascular & Interventional Radiology Physician
- Merrillville, IN
- NPI 1487176004
-
- Vascular & Interventional Radiology Physician
- Merrillville, IN
- NPI 1912522368
-
- General Practice Physician
- Highland, IN
- NPI 1407404569
-
- Chiropractor
- Highland, IN
- NPI 1538635214
-
- Ambulatory Family Planning Facility
- South Bend, IN
- NPI 1528151602
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.