| Miss Nicole A Green, NP | |
|
3800 St Mary Dr, Suite 103, Valparaiso, IN 46383-7502 | |
| (219) 464-2123 | |
| (219) 465-0032 |
| Full Name | Miss Nicole A Green |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 3800 St Mary Dr, Valparaiso, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013268929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28171988A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71004197A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Health Of St Mary Medical Center | Hobart, IN | Home health agency |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| St Catherine Hospital Inc | East chicago, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Network Inc | 3678737012 | 346 |
| Entity Name | Community Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Nicole A Green, NP 3800 St Mary Dr, Suite 103, Valparaiso, IN 46383-7502 Ph: (219) 464-2123 | Miss Nicole A Green, NP 3800 St Mary Dr, Suite 103, Valparaiso, IN 46383-7502 Ph: (219) 464-2123 |
Elizabeth Victoria Moerman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Lincolnway, Valparaiso, IN 46383 Phone: 219-247-4003 Fax: 574-203-9702 | |
Asha Koshy, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Sturdy Rd, Valparaiso, IN 46383 Phone: 219-462-7173 Fax: 219-462-7504 | |
Kathleen Decorte, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 Leonard Dr, Valparaiso, IN 46383 Phone: 219-531-5855 Fax: 219-531-1617 | |
Ms. Chrysanthemum M Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 South Sturdy Rd., Valparaiso, IN 46383 Phone: 219-531-0200 Fax: 219-531-0045 | |
Melissa M Dvorscak, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1105 Cumberland Xing, Valparaiso, IN 46383 Phone: 219-763-8112 Fax: 219-764-5380 | |
Frances Denean Laka, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1805 Calumet Ave, Valparaiso, IN 46383 Phone: 574-215-1039 | |
Mrs. Karla Joann Hanson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Roosevelt Rd Bldg A, Valparaiso, IN 46383 Phone: 219-263-7240 |