Patricia A Wangerin, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71000554A Issued in IN

Practice address

761 45TH Street
Ste. 103
Munster, IN 46321

Phone

(219) 922-3002

Fax

(219) 922-3003

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patricia.wangerin.1@25114.direct.athenahealth.com
• Direct secure messaging: patricia.wangerin.1@25117.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25114/brand/1/csg/1/fhir/r4

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.

• Lifecare of West Michigan Inc

  • Family Medicine Physician
  • Muskegon, MI
  • NPI 1710659255
  Medicare reassignment NPD
• Lifecare of Indiana LLC

  • Family Medicine Physician
  • Michigan City, IN
  • NPI 1639748692
  NPD

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1962442483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 45TH STREET",
            "address_2": "STE. 201",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-922-5550",
            "fax_number": "219-922-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 45TH STREET",
            "address_2": "STE. 103",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-922-3002",
            "fax_number": "219-922-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGERIN",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000554A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200286340A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Walker
• Shaniyah Walker
• Allyson Walsh
• James B Walsh, MD
• Irena M Walters, PSYD
• Ti-Yon Ward, NP
• Kylie Washel, PA-C
• Carla Patrice Watson, M.D.
• We Care Pharmacy LLC
• Adriane Weaver, APRN

• Nurse Practitioner in Munster, IN
• Providers in Munster, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.