Individual provider Active NPI

Georgianna Simpson, DNP

  • Family Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1922577337
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008532A Issued in IN
Practice address
2272 N Main St
Crown Point, IN 46307-1802
Phone
(219) 661-5601
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28203117A IN
Family Nurse Practitioner 363LF0000X 71008532A IN Primary

Addresses

Primary practice location

2272 N Main St
Crown Point, IN 46307-1802

Mailing address

2272 N Main St
Crown Point, IN 46307-1802
Phone (219) 661-5601

Other practice location 1

929 Ridge Rd Ste 5
Munster, IN 46321-1769
Phone (219) 836-2000

Other practice location 2

310 N Halleck St
Demotte, IN 46310-9419
Phone (219) 987-3301

Other practice location 3

200 E 89th Ave Ste 2A
Merrillville, IN 46410-7319
Phone (219) 736-2800

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
I20210428000599 IN Practitioner - Nurse Practitioner 7012325269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostics of Indiana LLCGroup PAC ID 3072548502, 121 clinicians

Practice addresses (Care Compare)

310 N Halleck St
Demotte, IN 46310-9419
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28203117AINMDFamily Nurse Practitioner
71008532AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Apr 1, 2020 Accepting new patients
Suniti Medical Corporation Past Accepting new patients
Suniti Medical Corporation Past Accepting new patients

Locations

2272 N Main St
Crown Point, IN 46307
Phone (219) 286-4518

310 N Halleck St
Demotte, IN 46310
Phone (219) 987-3301

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1922577337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 N MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071802",
            "telephone_number": "219-661-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 N MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071802",
            "telephone_number": "219-661-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 Ridge Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463211769",
            "country_code": "US",
            "telephone_number": "219-836-2000",
            "fax_number": "219-836-8272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 N Halleck St",
            "address_purpose": "LOCATION",
            "city": "Demotte",
            "state": "IN",
            "postal_code": "463109419",
            "country_code": "US",
            "telephone_number": "219-987-3301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E 89th Ave Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107319",
            "country_code": "US",
            "telephone_number": "219-736-2800",
            "fax_number": "219-736-6680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "GEORGIANNA",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28203117A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008532A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.