Individual provider Active NPI

Alicia Noonan, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Schererville, IN
National Provider Identifier
1881862415
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002612A Issued in IN
Practice address
7651 Harvest Dr
Schererville, IN 46375-3476
Phone
(219) 322-5723
Fax
(219) 440-5227
NPI assigned
Feb 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71002612A IN
Family Nurse Practitioner 363LF0000X 71002612A IN Primary

Addresses

Primary practice location

7651 Harvest Dr
Schererville, IN 46375-3476

Mailing address

8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084

Other practice location 1

1950 45th Street
Ste. 201
Munster, IN 46321
Phone (219) 924-2500

Other practice location 2

8135 Calumet Ave
Munster, IN 46321-1701
Phone (219) 513-2000

Other practice location 3

1950 45th St Ste 200
Munster, IN 46321-3958
Phone (219) 924-6544

Other identifiers 1

IdentifierTypeStateIssuer
200916140MedicaidIN

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
I20090205000429 IN Practitioner - Nurse Practitioner 6103980149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

9130 Columbia Ave
Munster, IN 46321-2932

9660 Wicker Ave
Saint John, IN 46373-9487

Hospital & facility affiliations

  • Powers Home Health Services Home health agency, Hobart, IN, CCN 157313
  • Franciscan Home Care Home health agency, Hobart, IN, CCN 157145
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71002612AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Nurse Practitioner CurrentSince Aug 31, 2020 Accepting new patients
Nwi Urgent Care, LLC CurrentSince May 15, 2020 Accepting new patients
The Methodist Hospitals, Inc PastSince May 15, 2020 Accepting new patients

Locations

5521 W US Highway 30
Ste 1A
Crown Point, IN 46307
Phone (219) 769-1362

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

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

1950 45th St
Ste 200
Munster, IN 46321
Phone (219) 912-3376

1950 45th St
Ste 201
Munster, IN 46321
Phone (219) 924-2500

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

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

7651 Harvest Dr
Schererville, IN 46375
Phone (219) 322-5723

Interoperability endpoints

  • Direct secure messaging: anoonan96330@ssdirect.comhs.org

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1203206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1881862415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-392-7084",
            "fax_number": "219-703-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 HARVEST DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463753476",
            "telephone_number": "219-322-5723",
            "fax_number": "219-440-5227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 45th Street",
            "address_2": "Ste. 201",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "46321",
            "country_code": "US",
            "telephone_number": "219-924-2500",
            "fax_number": "219-924-2502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8135 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463211701",
            "country_code": "US",
            "telephone_number": "219-513-2000",
            "fax_number": "219-513-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 45th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463213958",
            "country_code": "US",
            "telephone_number": "219-924-6544",
            "fax_number": "219-924-8502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "ALICIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-17",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002612A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002612A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200916140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

Verify at the official NPI Registry.