Active NPI
Alicia Noonan, NURSE PRACTITIONER
- Family Nurse Practitioner
- Schererville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002612A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200916140 | Medicaid | IN |
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Franciscan Home Care
- Community Hospital
- Powers Health Rehabilitation Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002612A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Nurse Practitioner | Current | Accepting new patients |
| Nwi Urgent Care, LLC | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Past | 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
- 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.
-
- Urgent Care Clinic/Center
- Munster, IN
- NPI 1043596703
-
- Urgent Care Clinic/Center
- Schererville, IN
- NPI 1942642848
-
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- Home Health Agency
- Hobart, IN
- NPI 1144225491
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- Home Health Agency
- Hobart, IN
- NPI 1528160736
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
- Kevin Andrew Natt, D.D.S.
- New Life New You, Inc
- Robert Michael Newhalfen, D.C.
- Ngo Minh Thuc Nguyen
- Isabelle Michaela Perez Nievera, MD
- Lyllien Amanda Noonan, MED.
- Julie Ann Norman, NP-C
- Northshore Health Centers, Inc.
- Northwest Indiana Center for Dental Implants and Gerneral Dentistry
- Northwest Indiana Chiropractic Health Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.