Individual provider Active NPI

Verna K Guevarra, FNP-BC

  • Family Nurse Practitioner
  • Merrillville, IN
National Provider Identifier
1942575188
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014127A Issued in IN
Practice address
3313 E 83Rd PL
Merrillville, IN 46410-6544
Phone
(219) 269-7824
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209027953 IL
Primary Care Nurse Practitioner 363LP2300X 71014127A IN
Family Nurse Practitioner 363LF0000X 71014127A IN Primary

Addresses

Primary practice location

3313 E 83Rd PL
Merrillville, IN 46410-6544

Mailing address

1518 W 96TH PL
Crown Point, IN 46307-2249
Phone (775) 997-5365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231019002536 IL Practitioner - Nurse Practitioner 2567818008 Reassigns benefits to 1 organization
I20231113001366 IN Practitioner - Nurse Practitioner 2567818008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unity Hospice of Northwest Indiana LLCGroup PAC ID 1658391347, 5 clinicians

Practice addresses (Care Compare)

3313 E 83Rd PL
Merrillville, IN 46410-6544
Phone (219) 769-8648

Hospital & facility affiliations

  • Elara Caring Home health agency, Valparaiso, IN, CCN 157095
  • Accentcare Home Health of Indiana Home health agency, Crown Point, IN, CCN 157436

Merit-based Incentive Payment System (MIPS)

Final score
80.62 of 100Reported as group
Quality
64.25
Promoting interoperability
95
Improvement activities
40
Cost
41.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Hospice of Northwest Indiana LLC CurrentSince Dec 25, 2023 Accepting new patients
MD @ Home Illinois, SC CurrentSince Oct 2, 2023 Accepting new patients

Locations

2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223

2003 W Fulton St
#303
Chicago, IL 60612
Phone (312) 243-2223

4101 Main St
Skokie, IL 60076
Phone (312) 847-2458

8407 Virginia St
Merrillville, IN 46410
Phone (219) 769-8648

3313 E 83rd Pl
Merrillville, IN 46410
Phone (219) 269-7824

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1942575188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 W 96TH PL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072249",
            "telephone_number": "775-997-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 E 83RD PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106544",
            "telephone_number": "219-269-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARRA",
        "first_name": "VERNA",
        "middle_name": "K",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209027953",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71014127A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014127A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.