Roger Farris

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71010873A Issued in IN

Practice address

9030 Cline Ave Ste a
Highland, IN 46322-2204

Phone

(219) 750-9497

NPI assigned

Mar 5, 2021

Last updated

Mar 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knox Winamac Community Health Centers IncGroup PAC ID 9537229802, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Health - Starke Hospital, Knox, IN, CCN 150102
• Pulaski Memorial Hospital Hospital, Winamac, IN, CCN 151305
• Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Knox Winamac Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Knox, IN
  • NPI 1629248919
  Medicare reassignment Care Compare group NPD
• Knox-Winamac Community Health Centers, Inc.

  • Family Medicine Physician
  • Winamac, IN
  • NPI 1528000395
  NPD
• Housecall Doctors PC

  • Podiatrist
  • Merrillville, IN
  • NPI 1407278377
  NPD (past)

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

• Knox Hospital Company LLC

  dba Northwest Health- Starke

  • Rural Acute Care Hospital
  • Knox, IN
  • NPI 1679948319
  Care Compare affiliation
• La Porte Hospital Company LLC

  dba Northwest Health-La Porte

  • General Acute Care Hospital
  • La Porte, IN
  • NPI 1750746285
  Care Compare affiliation
• Pulaski Memorial Hospital

  • Critical Access Hospital
  • Winamac, IN
  • NPI 1306928213
  Care Compare affiliation

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1902491558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 WICKLOW DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463857437",
            "telephone_number": "219-309-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 CLINE AVE STE A",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222204",
            "telephone_number": "219-750-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "ROGER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010873A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exotic Nova Extensions RX
• Fal-Highland, Inc. (Highland Nursing and Rehabilitation Center)
• Family Heath Care Center of Highland, P.C.
• Family Specialty Medical Center, LLC
• Asif Hussain Farooqui, M.D.
• Fashion Optical
• Aaron Joseph Faulkner, DC
• Sharice Felton
• James Daniel Ferguson, O.D.
• Liam James Ferguson

• Family Nurse Practitioner in Highland, IN
• Providers in Highland, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.