Organization Active NPI

Franciscan Physician Network

  • Clinic/Center
  • Lafayette, IN
National Provider Identifier
1992543250
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FRANCISCAN PHYSICIAN NETWORK
Practice address
1116 N 16TH St
Lafayette, IN 47904-2119
Phone
(765) 428-5850
Fax
(765) 428-5851
NPI assigned
Jul 19, 2024
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Donna Phalen
Title
Director
Phone
(219) 554-4548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1116 N 16TH St
Lafayette, IN 47904-2119

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other names 1

  • MDPP Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190523002659 IN MDPP Supplier - in-Person MDPP Supplier 3072790682 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Crawfordsville, IN; Indianapolis, IN; Lafayette, IN; Munster, IN; Rensselaer, IN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Franciscan Physician Network16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 115)

19657 S La Grange Rd
Mokena, IL 60448
Phone (708) 476-8205

3700 W 203rd St
Ste 111
Olympia Fields, IL 60461
Phone (708) 679-2512

20121 Crawford Ave
Olympia Flds, IL 60461
Phone (219) 922-3040

3700 W 203rd St
Ste 201
Olympia Flds, IL 60461
Phone (708) 679-2880

130 E 163rd St
South Holland, IL 60473
Phone (317) 528-4253

12188 N Meridian St
#200
Carmel, IN 46032

12188 N Meridian St
#260
Carmel, IN 46032

12188 N Meridian St
Ste B250
Carmel, IN 46032
Phone (317) 706-2361

12188 N Meridian St
Ste B270
Carmel, IN 46032

12188A N Meridian St
Ste 325
Carmel, IN 46032
Phone (317) 621-6888

12188B N Meridian St
Ste 330
Carmel, IN 46032
Phone (317) 208-3890

14641 US Highway 31 N
Ste E1
Carmel, IN 46032
Phone (317) 564-7025

6831 W 133rd Ave
Cedar Lake, IN 46303
Phone (219) 374-5970

770 Indian Boundary Rd
Ste 203
Chesterton, IN 46304
Phone (219) 878-8200

810 Michael Dr
Ste E
Chesterton, IN 46304
Phone (219) 878-5035

810 Michael Dr
Ste K
Chesterton, IN 46304
Phone (219) 395-2165

123 2nd St
Columbus, IN 47201
Phone (812) 342-3339

1640 Crawfordsville Square Dr
Crawfordsville, IN 47933
Phone (765) 359-1113

1640 Crawfordsville Square Dr
Ste 100
Crawfordsville, IN 47933
Phone (765) 362-6374

1660 Lafayette Rd
Ste 150
Crawfordsville, IN 47933
Phone (765) 359-2088

1121 S Indiana Ave
Crown Point, IN 46307
Phone (219) 663-2160

1201 S Main St
Ste 205
Crown Point, IN 46307
Phone (219) 662-6538

1205 S Main St
Ste 101
Crown Point, IN 46307
Phone (219) 662-0077

1205 S Main St
Ste 201
Crown Point, IN 46307
Phone (219) 738-2279

1505 S Court St
Ste 101
Crown Point, IN 46307
Phone (219) 662-0700

Practitioners & affiliated clinicians

Practitioners 1,423

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,423

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1992543250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N 16TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042119",
            "telephone_number": "765-428-5850",
            "fax_number": "765-428-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "PHALEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "219-554-4548"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDPP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.