Iga Aizigov, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Granger, IN
NPI 1992155121 · NPPES record last updated Oct 12, 2019
Key facts
- NPI
- 1992155121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 28218728A (IN)
- Practice address
- 50653 Hollybrook Dr
Granger, IN 46530-4947 - Phone
- (718) 208-0510
- NPI assigned
- Jun 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1627 E Jefferson Blvd
Mishawaka, IN 46545-7103
Phone (718) 208-0510
Hospital & facility affiliations
- Community Hospital of Bremen Inc
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Pointe LLC | Current |
Accepting new patients | |
| Lincoln Counseling, PC | Past |
Accepting new patients |
Locations
113 Lincolnway E
Mishawaka, IN 46544
Phone (574) 255-4976
1001 N Hickory Rd
Ste 3
South Bend, IN 46615
Phone (574) 232-3100
Interoperability endpoints
- https://api.platform.athenahealth.com/24035/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28218728A | IN | Yes |
Addresses
Primary practice location
50653 Hollybrook Dr
Granger, IN 46530-4947
Mailing address
50653 Hollybrook Dr
Granger, IN 46530-4947
Phone (718) 208-0510
Other providers in Granger, IN
- Anthony Carl Acito
- Lynn Kamiak Acosta
- Advance Dentures of Michiana
- Advanced Physical Therapy, LLC
- Airway & Midface Development, LLC
- Roni Aizigov
- Abdulhamid Dahan Al-Fadhl
- Mahmoud Al-Fadhl
- Align to Health
- Allcare Dental & Dentures of in PC
All providers in Granger, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.