Individual provider Active NPI

Kenneth Julian Haluska, DNP, FNP-C

  • Family Nurse Practitioner
  • Dyer, IN
National Provider Identifier
1932885506
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014050A Issued in IN
Practice address
1160 Joliet St Ste 103
Dyer, IN 46311-3000
Phone
(219) 322-8534
NPI assigned
Jun 27, 2023
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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 71014050A IN Primary
Registered Nurse 163W00000X 28251414A IN

Addresses

Primary practice location

1160 Joliet St Ste 103
Dyer, IN 46311-3000

Mailing address

6050 Sterling Creek Rd
Portage, IN 46368-7752
Phone (219) 763-8112

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
I20230726000498 IN Order and Referring Only - Nurse Practitioner 0941661821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28251414AINMDRegistered Nurse
71014050AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Health Centers, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kenneth.haluska.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1932885506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 STERLING CREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463687752",
            "telephone_number": "219-763-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 JOLIET ST STE 103",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113000",
            "telephone_number": "219-322-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALUSKA",
        "first_name": "KENNETH",
        "middle_name": "JULIAN",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014050A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28251414A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.