Antoinette Sue Coalson, NP
Individual provider Active NPI Family Nurse Practitioner · Elkhart, IN
NPI 1922448182 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1922448182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71004495A (IN)
- Practice address
- 500 Arcade Ave Ste 210
Elkhart, IN 46514-2485 - Phone
- (574) 389-5656
- NPI assigned
- Jul 2, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apogee Medical Group Indiana PC
Apogee Medical Group Wisconsin SC
Apogee Medical Group Ohio Inc
Apogee Medical Group, New York, PC
Practice addresses (Care Compare)
200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 364-2510
2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone (214) 666-9604
2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-6328
520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 882-5220
830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000
Hospital & facility affiliations
- Watertown Memorial Hospital
- Goshen Hospital
- Ashtabula County Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 83.98
- Improvement activities
- 40
- Cost
- 76.51
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in IN, OH, WI, NY, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131104001109 | IN | Practitioner - Nurse Practitioner | 3577798396 | Reassigns benefits to 1 organization |
| I20250617001814 | OH | Practitioner - Nurse Practitioner | 3577798396 | Reassigns benefits to 1 organization |
| I20250904004621 | WI | Practitioner - Nurse Practitioner | 3577798396 | Reassigns benefits to 1 organization |
| I20250911005018 | NY | Practitioner - Nurse Practitioner | 3577798396 | Reassigns benefits to 1 organization |
| I20251021003013 | MI | Practitioner - Nurse Practitioner | 3577798396 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71004495A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group, Michigan, PC | Current |
Accepting new patients | |
| Apogee Medical Group, New York, PC | Current |
Accepting new patients | |
| Apogee Medical Group, Wisconsin, S.C | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Apogee Medical Group Indiana PC | Current |
Accepting new patients | |
| Apogee Medical Group Ohio Inc | Nurse Practitioner | Current |
Accepting new patients |
| Northeast Internal Medicine Associates, PC | Past | Accepting new patients |
Locations
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
515 Main St
Olean, NY 14760
Phone (716) 373-2600
830 Washington St
Watertown, NY 13601
Phone (315) 785-4000
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487
125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210
Interoperability endpoints
- acoalson1216932@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71004495A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71004495A | IN | Yes |
Addresses
Primary practice location
500 Arcade Ave Ste 210
Elkhart, IN 46514-2485
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-1817
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201190320 | Medicaid | IN |
Other names
- Toni S Coalson
Other providers in Elkhart, IN
- James W Clifton
- Alexys Cline
- Clinical Colleagues of Indiana PC
- Elizabeth Cloud
- Troy D Clouse
- Makayla Cochran
- Alyssa Rae Coco
- James Coiner Jr.
- Robert Colcord
- Anthony Leon Coleman
All providers in Elkhart, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.