Active NPI
Sarah Sue Humes, FNP
- Family Nurse Practitioner
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28167297A
- Practice address
- 211 N Eddy St
South Bend, IN 46617 - Phone
- (574) 237-9231
- Fax
- (574) 204-6355
- NPI assigned
- Feb 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28167297A | IN | Primary |
| Registered Nurse | 163W00000X | 28167297A | IN |
Addresses
Primary practice location
211 N Eddy St
South Bend, IN 46617
Mailing address
211 N Eddy St
South Bend, IN 46617-2808
Phone (574) 237-9231
Other practice location 1
3005 Grape Rd
Mishawaka, IN 46545-2708
Phone (574) 255-9555
Other practice location 2
3005 Grape Rd
Mishawaka, IN 46545-2708
Phone (574) 255-9555
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1550 S Woodland Ave
Michigan City, IN 46360-7125
Phone (219) 878-5020
Hospital & facility affiliations
- Franciscan Health Michigan City
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28167297A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Dermatology Institute, LLC | Current | Accepting new patients | |
| Northern Indiana Dermatology and Skin Surgery Center | Past | Accepting new patients |
Locations
2622 Momentum Pl
Chicago, IL 60689
425 Sand Creek Dr
Chesterton, IN 46304
Phone (219) 395-9353
11061 Broadway
#B
Crown Point, IN 46307
Phone (219) 232-9209
1550 S Woodland Ave
Michigan City, IN 46360
Phone (219) 878-5020
3190 Lancer St
Portage, IN 46368
Phone (219) 764-3600
Interoperability endpoints
- shumes@illinois.emadirect.md
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.
-
- MOHS-Micrographic Surgery Physician
- Portage, IN
- NPI 1639289093
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1962902254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N EDDY ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172808",
"telephone_number": "574-237-9231",
"fax_number": "574-204-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N EDDY ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "46617",
"telephone_number": "574-237-9231",
"fax_number": "574-204-6355"
}
],
"practiceLocations": [
{
"address_1": "3005 Grape Rd",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465452708",
"country_code": "US",
"telephone_number": "574-255-9555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3005 Grape Rd",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465452708",
"country_code": "US",
"telephone_number": "574-255-9555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUMES",
"first_name": "SARAH",
"middle_name": "SUE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-13",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28167297A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28167297A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.