Individual provider Active NPI

Porsche Bianca West

  • Family Nurse Practitioner
  • Gary, IN
National Provider Identifier
1992491906
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013960A Issued in IN
Practice address
2269 W 25TH Ave
Gary, IN 46404-3367
Phone
(219) 944-4160
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71013960A IN Primary

Addresses

Primary practice location

2269 W 25TH Ave
Gary, IN 46404-3367

Mailing address

2269 W 25TH Ave
Gary, IN 46404-3367
Phone (708) 275-6933

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
I20230626000505 IN Practitioner - Nurse Practitioner 0345608212 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

7935 Calumet Ave
Munster, IN 46321-1215
Phone (219) 836-8300

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71013960AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince May 30, 2023 Accepting new patients
Midwest Post Acute Care Aco PLLC CurrentSince Jul 9, 2024 Accepting new patients
The Methodist Hospitals, Inc CurrentSince May 30, 2023 Accepting new patients
Midwest Post Acute Care PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

1750 S Creasy Ln
Lafayette, IN 47905
Phone (765) 447-6600

6121 Cleveland St
Merrillville, IN 46410
Phone (219) 738-5985

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

4100 N Morrison Rd
Muncie, IN 47304
Phone (765) 212-3162

7935 Calumet Ave
Munster, IN 46321
Phone (219) 836-8300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1992491906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 W 25TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464043367",
            "telephone_number": "708-275-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 W 25TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464043367",
            "telephone_number": "219-944-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "PORSCHE",
        "middle_name": "BIANCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013960A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.